RT Book, Section A1 Gomella, Tricia Lacy A1 Cunningham, M. Douglas A1 Eyal, Fabien G. A1 Tuttle, Deborah J. SR Print(0) ID 1107528593 T1 Eye Disorders of the Newborn T2 Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 7e YR 2013 FD 2013 PB McGraw-Hill Education PP New York, NY SN 9780071768016 LK accesspediatrics.mhmedical.com/content.aspx?aid=1107528593 RD 2024/03/29 AB The infant's first eye examination is performed sometime after birth and prior to discharge home. The extent of the examination should be appropriate to the infant's condition. This initial selective screening examination assesses structural development of the eyes and the relationship of the eyes to the overall facies. In addition, reactivity of the pupils and the red reflex are assessed. The eye examination also provides a good opportunity to observe an infant's resting state and his or her ability to transition from one state to another. Observations that give information about the infant's general well-being and maturity include apparent awareness and visual interest in the surroundings as opposed to abnormal staring or absent visual fixation. In otherwise healthy infants, assessment of visual acuity is delayed until early childhood when cooperation with the eye examination can be expected. Normal findings that resolve include edema, eversion, bruising, hemorrhage, and nevus simplex. (See also Chapter 6.)