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Eyelids: (check all those that apply)
_____swelling of either eyelid
_____drooping of one or both lids
_____redness
_____discharge (either watery or pus-like)
_____excess blinking
_____scaley or crusted appearance
White part of eyes: (check all those that apply)
_____yellowish appearance
_____bloodshot, reddish appearance
_____mucous discharge
_____excess tearing
_____scarring
_____obvious discomfort (e.g., itching)
Eyeballs: (check all those that apply)
_____appear to be excessively large
_____appear to be unusually small
_____appear to be "sunken" into the eye socket
Eyes: (check all those that apply)
_____appears to be a "cloudy" film over the front of the eye
_____pupil appears cloudy or whitish
_____abnormal constriction or dilation of the pupil(s)
_____Check here if the child's eyes appear normal (i.e., none of the above were observed); this is to assure that appearance was noted.
See also: "Signs of Eye Trouble in Children" in Preschool Children with Visual Impairments.
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Last Revision: September 4, 2007