Pediatric Ophthalmology Video

This video covers eye vision testing, retinoscopy, eye alignment, white pupil, and retinopathy of prematurity. Enjoy!


length: 22:50 minutes

Screen Captures from this Video:

Checking vision in pediatric ophthalmology
Children are difficult to check vision. Depending upon the age, a child may only blink-to-light, fix and follow, or even read pictures. Here are a couple of tips for checking a kids vision.

Bruckner Test
The Bruckner test is a way to estimate near-sightedness versus hyperopia.

How to retinoscopy
Retinoscopy is a difficult concept to understand. Here we explain how light focuses inside the eye, and how examining the red-reflex can help you estimate a child’s glasses prescription.

Retinoscopy with motion
This animated sequence shows the “with” motion you get. It then procedes to show the correct red-reflex you should see, followed by the over-corrected “against” motion.

Cross cover testing for tropias and phorias
This animated sequence shows the difference between a tropia and a phoria. Also, the cover-uncover and cross-cover tests are demonstrated. Finally, you’ll learn how to correct deviation using prisms.

Amblyopia Nerves
This animation shows the wiring involved with amblyopia, and why we patch eyes to correct vision.

Leukocoric white pupil
Leukocoria (a white colored pupil) can be an emergency. In this case, it is caused by a small congenital cataract.

Retinoblastoma
Retinoblastoma is a more serious cause for a white pupil. This cancer can kill if it tracks down the optic nerve.

Retinopathy of Prematurity
The video concludes with an explanation for ROP (retinopathy of prematurity) … what causes it, and why we perform laser to treat it.


Comments and Feedback
34 Comments »


Great video, very informative and simple, yet it stopped at 20:19 and didn’t finish :(
Thanks for the effort.

Editors Note: Weird. I just played it through and it seems to work fine. Possibly the stream broke in the middle of your playback. You might want to hit “refresh” than drag the progress slider along the bottom of the video to the point where the video cut-off so you can complete the viewing. Thanks for posting about it!

Comment by Olama — March 13, 2009 @ 9:31 am


Thanks for making these great videos,I’m starting to like a field of medicine I used to think was so boring.. :-) Thanks!
Since I’m European, I couldn’t help but notice a small mistake on the “indications for screening” slide; you might wanna change 1500 kg to 1500 GRAMS, otherwise we’re talking about a giant of a baby ;-)
Keep up the good work!

Best regards, Anna (5th year medical student)

Comment by Anna — March 31, 2009 @ 4:08 pm


This has been such a wonderful learning tool. I’ve worked in ophthamology for two years and groan when I get a baby or small child because I just didn’t know much about how to examine them or what a doctor was looking for. I’ve learned so much from your videos. Thank you so much.

Comment by Karri — April 22, 2009 @ 1:06 am


Thanks for this excellent resource! I am a 3rd year Family Medicine resident and especially like the cartoons and live videos showing exam techniques and findings. This is better than our ophtho rotation!

Comment by mcd — April 28, 2009 @ 3:28 pm


Thank you soooo much. I spent 2 hours watching your videos, they are very helpful.
IMG

Comment by yuliya — April 28, 2009 @ 7:30 pm


i appreciate ur effort

Comment by mohamed — July 27, 2009 @ 3:00 pm


Bravo! As someone who works on early identification of visual abnormalities at children every day I can say THANK YOU!

Comment by Radmila — September 5, 2009 @ 3:01 pm


how can i download this video its not in the youtube….

Comment by Sakar — October 12, 2009 @ 9:19 am


can i know how 2 download it its not in youtube

Comment by Sakar — October 12, 2009 @ 9:20 am


far better den d technical jargon used in common medical textbook…. kp d gud work going…

Comment by ashish patel — January 14, 2010 @ 6:37 pm


thanx alot for the effort , i found these videos very helpful and concise, keep up the good work
A.amoudi saudi arabia

Comment by Abdullah amoudi — February 18, 2010 @ 7:29 am


Hello,

I just have a comment on Hirchberg test. I’ve learnt that 1 mm is actually 22 prism dioptres, not 15 prism dioptres.

Editors Note: Thanks for writing V. I believe that 15 prism diopters (as mentioned in this video) is correct. According to the “Pediatric Ophthalmology and Strabismus” book put out by the AAO, the Hirschburg test shows that 1mm of light decentration corresponds to about 7 degrees or 15 prism diopters of deviation. I’ve listed the source below. If you know of another source that states 22diopters, let me know. Thanks!

Source Quoted: “Simon JW, Calhoun JH. A Child’s Eyes: A Guide to Pediatric Primary Cre. Gainesville, FL: Triad Publishing Co; 1997:72.)

Comment by V — February 28, 2010 @ 1:52 pm


videos and theory presented by you are excellent tool to refresh for practicing ophthalmologist also. You have done a excellent job for the education of ophthalmologist and students across the world.

Comment by prashant chaudhari — May 28, 2010 @ 5:56 am


I recently stumbled on your website when I was searching a video about opthalmology and let me say thank you for your courage, determination and hard work in making ophthalmology simple using animated video. however I found minor error in the slide of the video that shows a risk factors for retinopathy of prematurity that indicate 1200 kilogram of an infant being at risk of prematurity.Please can you look at it and make a correction. My ancestor used to say only a functioning human can make errors.
Thank you again.

Comment by Gashaw — June 5, 2010 @ 12:35 pm


As a relatively new early childhood nurse working alone in a clinic your videos and demonstrations were excellent! So thank you very much from Wollongong NSW Australia!

Comment by Susan Darling — June 16, 2010 @ 5:46 am


dr root u hv done a wonderful job . its simply rocking. my request is if u cud put more of such educative videos . thnx

Comment by shilpa — August 8, 2010 @ 11:40 am


Thanks! What a great video on peadiatric eye examination, something I never quite got until I watched this very informative but simple clip. I will not dread peads eye examinations again!

Comment by Lawrence — September 14, 2010 @ 12:45 pm


Hi amazing video I am going into optometry but I was just curious as to why not just cover a child’s eyes if they are born premature until they are 9 months and fully developed instead of using the laser 1000 times to create holes in the peripheral retina.

Comment by Martin — September 30, 2010 @ 9:50 pm


I enjoyed your video doctor, very useful for my upcoming Pediatric presentation at work. I am looking forward to more educational videos. Thank You.

Comment by Karla — October 10, 2010 @ 7:08 pm


Thank you very much such a wonderful and helpful video (Pediatric Ophthalmology Video). Is it permissable to translate it into other languages in order to increase the awereness of both public and medical doctors.

Comment by Şeref — December 21, 2010 @ 4:39 pm


It is wonderful.how can I download it nand sve it
thanks& regards

Comment by javaid — January 26, 2011 @ 2:37 am


i have problem with my son retina, ROP, laser had done at 20 january 2011. And now have bleeding, what can i do? please help to explaine ROP and what the solution.Thank you very muc

Comment by ido — January 29, 2011 @ 12:04 am


excellent. thanks for effort.

Comment by dr mostafa — March 25, 2011 @ 1:14 am


Hi Dr Root,

Love your work. It takes a lot of intelligence and forethought and make things seem so simple as you do!

I don’t know whether you appreciate typo’s being pointed out for future presentations/version or would rather we didn’t mention them …. but pediatric opthalmology video 21.30 ‘What babies get screened’ slide on retinopathy of prematuraty

Comment by Helen — March 31, 2011 @ 8:22 pm


Excellent! Your sharing effort on Pediatric Ophthalmology is greatly appreciated. Thanks from Malaysia.

Comment by Vivien Liew — June 1, 2011 @ 5:19 am


great job
keep it up.

Comment by MUFRACACA — June 11, 2011 @ 3:44 am


Thanks so much for publishing this excellent series of video lectures and resource materials.

However, I feel obliged to point out that 1500kg is not “pretty darn small”! 1500kg is pretty darn huge!

(1500g (grams) is pretty darn small…)

Comment by Chris — July 4, 2011 @ 6:27 pm


Simple, clear and very useful.

Thanks a lot from Chile

Comment by Daniel Varas — July 7, 2011 @ 9:28 pm


great effort i always like these kind of vedeos soft style

Comment by rubina — August 7, 2011 @ 7:38 pm


niiiiiiiccccccceeeee

Comment by rubina — August 7, 2011 @ 7:39 pm


Your way of teaching and presentation are superb. Thank you alot for sharing your knowledge.Thanks from India.

Comment by chilak — September 29, 2011 @ 5:17 am


this is the best presentation i ever seen , thank you

Ehab
optometrist

Comment by Ehab — October 8, 2011 @ 2:33 am


wonderful video will help all practitioners in clinics testing kids

Comment by p r prasanna klumar — November 15, 2011 @ 7:17 am


very simple and clear especially for undergraduates :)

Comment by salma — December 29, 2011 @ 6:39 pm


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