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Symptom Based Diagnosis of Infant under One Year in Outpatient Clinic

PURPOSE: We investigated chief complaints and ocular disorders in infants under one year of age and analyzed the association between complaints and disorders. METHODS: The medical records of 815 infants were reviewed. Chief complaints were grouped into the following 11 categories: eyelid drooping, e...

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Autores principales: Han, Sangyoun, Kim, Ungsoo Samuel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Ophthalmological Society 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4038730/
https://www.ncbi.nlm.nih.gov/pubmed/24882958
http://dx.doi.org/10.3341/kjo.2014.28.3.241
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author Han, Sangyoun
Kim, Ungsoo Samuel
author_facet Han, Sangyoun
Kim, Ungsoo Samuel
author_sort Han, Sangyoun
collection PubMed
description PURPOSE: We investigated chief complaints and ocular disorders in infants under one year of age and analyzed the association between complaints and disorders. METHODS: The medical records of 815 infants were reviewed. Chief complaints were grouped into the following 11 categories: eyelid drooping, epiphora (tearing), ocular discharge, lid swelling, eyelashes touching the eyeball, abnormalities of the anterior segment, abnormal eyeball movement (e.g., squint or nystagmus), red eye, trauma, poor eye contact, and miscellaneous. We performed ophthalmologic examinations at the doctors' discretion and analyzed the relationship between chief complaint and final diagnosis. RESULTS: Mean age of visiting the outpatient clinic was 6.09 ± 3.07 months. The most common complaint was ocular discharge, followed by abnormal eyeball movement, epiphora, and eye redness. Among infants with ocular discharge, most were attributed to congenital nasolacrimal duct obstruction (155 infants) and conjunctivitis (75 infants). A total of 160 guardians complained of abnormal eyeball movement and 86 of 160 infants (51.9%) suffered from pseudoesotropia. Additionally, exodeviation and esodeviation was found in 17.9% and 16.4% of infants, respectively. Eight guardian complained of poor eye contact in their infants and these infants were diagnosed with retinal disorders (3), congenital optic nerve disorders (2), cataract (1), glaucoma (1), and high hyperopia (1). CONCLUSIONS: The most common ocular symptoms in infants under one year of age included ocular discharge, epiphora, and eye redness. However, infants with poor eye contact or suspected abnormal eye movement should undergo a full ophthalmologic examination.
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spelling pubmed-40387302014-06-01 Symptom Based Diagnosis of Infant under One Year in Outpatient Clinic Han, Sangyoun Kim, Ungsoo Samuel Korean J Ophthalmol Original Article PURPOSE: We investigated chief complaints and ocular disorders in infants under one year of age and analyzed the association between complaints and disorders. METHODS: The medical records of 815 infants were reviewed. Chief complaints were grouped into the following 11 categories: eyelid drooping, epiphora (tearing), ocular discharge, lid swelling, eyelashes touching the eyeball, abnormalities of the anterior segment, abnormal eyeball movement (e.g., squint or nystagmus), red eye, trauma, poor eye contact, and miscellaneous. We performed ophthalmologic examinations at the doctors' discretion and analyzed the relationship between chief complaint and final diagnosis. RESULTS: Mean age of visiting the outpatient clinic was 6.09 ± 3.07 months. The most common complaint was ocular discharge, followed by abnormal eyeball movement, epiphora, and eye redness. Among infants with ocular discharge, most were attributed to congenital nasolacrimal duct obstruction (155 infants) and conjunctivitis (75 infants). A total of 160 guardians complained of abnormal eyeball movement and 86 of 160 infants (51.9%) suffered from pseudoesotropia. Additionally, exodeviation and esodeviation was found in 17.9% and 16.4% of infants, respectively. Eight guardian complained of poor eye contact in their infants and these infants were diagnosed with retinal disorders (3), congenital optic nerve disorders (2), cataract (1), glaucoma (1), and high hyperopia (1). CONCLUSIONS: The most common ocular symptoms in infants under one year of age included ocular discharge, epiphora, and eye redness. However, infants with poor eye contact or suspected abnormal eye movement should undergo a full ophthalmologic examination. The Korean Ophthalmological Society 2014-06 2014-05-19 /pmc/articles/PMC4038730/ /pubmed/24882958 http://dx.doi.org/10.3341/kjo.2014.28.3.241 Text en © 2014 The Korean Ophthalmological Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Han, Sangyoun
Kim, Ungsoo Samuel
Symptom Based Diagnosis of Infant under One Year in Outpatient Clinic
title Symptom Based Diagnosis of Infant under One Year in Outpatient Clinic
title_full Symptom Based Diagnosis of Infant under One Year in Outpatient Clinic
title_fullStr Symptom Based Diagnosis of Infant under One Year in Outpatient Clinic
title_full_unstemmed Symptom Based Diagnosis of Infant under One Year in Outpatient Clinic
title_short Symptom Based Diagnosis of Infant under One Year in Outpatient Clinic
title_sort symptom based diagnosis of infant under one year in outpatient clinic
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4038730/
https://www.ncbi.nlm.nih.gov/pubmed/24882958
http://dx.doi.org/10.3341/kjo.2014.28.3.241
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