Red Eye in Infants

Key Points

• Red eye in infants requires special attention to differentiate ophthalmia neonatorum, congenital glaucoma, conjunctivitis, and dacryocystitis.

• Cultures should be obtained in neonates with symptoms suggestive of ophthalmia neonatorum.

• Febrile children with acute dacryocystitis should have cultures tested to direct management.

• Infants with symptoms of congenital glaucoma should be promptly referred to an ophthalmologist.

• For chronic dacryocystitis, the best age for surgical intervention is 6 to 12 months.

• Infants with a dacryocystocele require prompt ophthalmologist referral and systemic antibiotics.

Several conditions occur specifically during the first year of life. They include ophthalmia neonatorum, acute and chronic dacryocystitis, bacterial conjunctivitis, and congenital glaucoma.

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