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Scoring Guidance©: Appearance of Eyes and Eyelids

Examine the child's eyes and eyelids. Do you observe any of the following? Please check all applicable boxes. Inquire with the caregiver about when they first noticed any concerns and whether these occurred suddenly.

It is important to note that some concerns may be either very urgent or non-urgent, depending on factors such as sudden onset. Refer to the statements provided for indications that may require more immediate attention.

A "check" mark positively indicates a concern.

Appearance of Eyes and Eyelids Questions

Do one or both eyes appear white or cloudy?
"Yes" = Very Urgent Concern.
Is there a difference in the black part (pupil) of one or both eyes in color, size, or shape?
This is Very Urgent Concern if the size difference is more than 1 mm.
Otherwise = Non-Urgent Concern.
Is there a difference in the colored part (iris) of one or both eyes in size or shape?
This is Very Urgent Concern if the size difference is more than 1 mm.
Otherwise = Non-Urgent Concern.
Do one or both eyes turn in, out, up, or down, either all the time or sometimes?
This is Very Urgent Concern if this is an abrupt onset for a child 2 to 3 years old.
Otherwise = Non-Urgent Concern.
Do their eyes move on their own or move quickly (e.g., dancing or jiggling up and down or side to side)?
This is Very Urgent Concern if abrupt onset.
Otherwise = Non-Urgent Concern.
Does one eye look different than the other (e.g., one eye is smaller or higher on the face)?
"Yes" = Urgent Concern.
Does one eyelid droop or look lower than the other?
This is Urgent Concern if abrupt onset.
Otherwise = Non-Urgent Concern.
Are their eyes red or have a lot of matter beyond the usual sleep matter or due to allergies?
"Yes" = Non-Urgent Concern.
Picture
Photo: ABC Children's Eye Specialists PC (Arizona)
Are their eyelids red, swollen, or crusty?
"Yes" = Non-Urgent Concern.
Picture
Photo: Glaucoma UK

Appearance of Eyes and Eyelids - Summary Results for Scoring Rubric©

Choose the most urgent summary result to carry forward to the Scoring Rubric©, if any.
No Concerns.
Non-Urgent Concerns.
Urgent Concerns.
Very Urgent Concerns.

A Shared Vision: Partners in Pediatric Blindness & Visual Impairment

EIN 81-4227664