Signs and Symptoms Eye: Red Eye: Chapter 27 Eye: Strabismus: Chapter 28 Eye: Unequal Pupils: Chapter 29 Eye: Visual Disturbances: Chapter 30 Medical, Surgical, and Trauma Emergencies Infectious Disease Emergencies: Chapter 94 Ocular Trauma: Chapter 114 The Children’s Hospital of Philadelphia Clinical Pathway Clinical Pathway for Patient With Suspected Preseptal or Orbital Cellulitis URL: https://www.chop.edu/clinical-pathway/preseptal-or-orbitalcellulitis-clinical-pathway Authors: G Binenbaum, MD; L Lin, BS; I Kuhn, CRNP; M Russo, MD; T Kaur, MD; J Lavelle, MD; M Hayes, PharmD; W Katowitz, MD; K Reddy, MD; M Rizzi, MD; K Revere, MD; A Buzi, MD; M Blackstone, MD; C Wilbur, MD; V Scheid, MD Posted: April 2019, last revised June 2019 EXAMINATION Many children regard eye examinations and administration of eye drops with the same fear that they harbor for injections Therefore, it is important to gather as much information as possible before touching the patient or instilling eye drops A detailed history can be a valuable tool in focusing the examination and making a diagnosis Questions regarding unilaterality/bilaterality, acute/chronic onset of symptoms, and prior ophthalmic care are particularly helpful For example, a patient may be known to have an eye with poor vision, or to have had one eye patched for a visual problem, suggesting amblyopia Conversely, a child may be unaware of having poor vision in one eye because the pediatric brain is able to suppress the blurred image and focus solely on the clear image, allowing the child to proceed with normal activity unaware of the unilateral visual deficit Importantly, an unremarkable visual screening examination at school does not necessarily imply that the vision was normal because false-negative tests are well known to occur