RT Book, Section A1 Lueder, Gregg T. SR Print(0) ID 56152878 T1 Chapter 8. Absent Tearing in Infants T2 Pediatric Practice: Ophthalmology YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 9780071633802 LK accesspediatrics.mhmedical.com/content.aspx?aid=56152878 RD 2024/03/28 AB Table Graphic Jump Location|Download (.pdf)|PrintThe Problem“My baby doesn’t cry.”Common CauseAbsent reflex tearsOther CausesDry eyes (alacrima)• Isolated• Associated with other systemic diseasesKEY FINDINGSHistoryAbsent reflex tearsBaby doesn’t make tears when cryingOtherwise completely normalDry eyesDecreased tearsGlassy appearance to eyesIncreased light sensitivityParadoxically, some patients with dry eyes have symptoms of excess tearing (see text)ExaminationAbsent reflex tearingEyes otherwise appear normalCornea and conjunctiva crisp and clearNormal tear lakesDry eyePhotophobiaConjunctival rednessPossible visible corneal scarsOther systemic abnormalitiesSometimes excess tearing