vision - tested by slow pursuit movements e.g. in response to face or toy
eye is generally white; some conjunctival hyperaemia is acceptable
cornea should be clear and normal size with sharp iris detail
corneal reflexes are central
red reflexes present
any signs supportive of lacrimal duct obstruction
such as a thick tear film that often overflows, a swelling at the inner canthus (secondary to a lacrimal sac mucocele)
look for mimics of lacrimal duct obstruction
lid or lash abnormality
chlamydial conjunctivitis - typical is a sticky eye and a plushy hyperaemic appearance of the lower lid conjunctiva - can continue to over 8 months in age - if in doubt take chlamydia swabs
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