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The newborn baby's closed lids should be thoroughly cleansed and dried. If the cause is determined to be due to a blocked tear duct, gentle palpation between the eye and the nasal cavity may be used to clear the tear duct. If the tear duct is not cleared by the time the newborn is 1 year old, surgery may be required. [4] Postnatal measures include:
Bronze baby syndrome (dark pigmentation of skin). The primary symptom is yellowish discoloration of the white part of the eyes and skin in a newborn baby. [1] Other symptoms may include excess sleepiness or poor feeding. [1] A bilirubin level more than 34 μmol/L (2 mg/dL) may be visible. [1]
Leukocoria (also white pupillary reflex) is an abnormal white reflection from the retina of the eye. Leukocoria resembles eyeshine , but leukocoria can also occur in animals that lack eyeshine because their retina lacks a tapetum lucidum .
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Around 6% of infants have congenital nasolacrimal duct obstruction, or dacryostenosis, usually experiencing a persistent watery eye even when not crying. If a secondary infection occurs (dacryocystitis), purulent (yellow / green) discharge may be present. Most cases resolve spontaneously, with antibiotics reserved only if conjunctivitis occurs.
Localized skin, eye and mouth disease: 35–45% of neonatal HSV infections. Presentation includes clustering vesicular lesions (blister-like) with erythematous (skin redness) base in localized area of skin which can spread to the eye or oropharynx. There is risk of progression to CNS or disseminated disease, so infants should be thoroughly ...
Mild burns produce conjunctivitis, while more severe burns may cause the cornea to turn white. [15] Litmus paper may be used to test for chemical causes. [14] When a chemical cause has been confirmed, the eye or eyes should be flushed until the pH is in the range 6–8. [15] Anaesthetic eye drops can be used to decrease the pain. [15]
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