RT Book, Section A1 Lueder, Gregg T. SR Print(0) ID 56150446 T1 Chapter 16. Cloudy Cornea 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=56150446 RD 2024/04/23 AB Table Graphic Jump Location|Download (.pdf)|PrintThe Problem“My child’s eye looks cloudy.”Common CausesInfantile glaucomaCorneal infectionForceps injuryPeter’s anomalyOther CausesSclerocorneaCongenital corneal dystrophyMucopolysaccharidosisTraumaKEY FINDINGSHistoryInfantile glaucomaEye appears larger than normalLight sensitivity and excess tearingCorneal infectionMost common in older children who wear contact lensesUsually very uncomfortablePossible trauma, foreign bodyForceps injuryDifficult delivery requiring forcepsPeter’s anomalyCloudy central cornea at birthOther causesMay be associated with other systemic problems (e.g., mucopolysaccharidosis)History of traumaExaminationInfantile glaucomaEnlarged corneaGround-glass appearancePhotophobia, excess tearingCorneal infectionFocal areas of increased corneal cloudingPossible corneal foreign bodyEye appears bloodshot (conjunctival injection)Corneal dendrites (herpes simplex virus infection)Corneal forceps injuryCornea initially usually diffusely cloudyLater—oblique scarsPeriocular and facial bruising and swelling from forcepsPeter’s anomalyCentral corneal cloudingPeripheral cornea usually clear