ophthalmia

Broad inflammatory designation

A working lexical boundary is inflammation of the conjunctiva or eyeball; this does not by itself specify a cause or narrower disorder. [Merriam-Webster](https://www.merriam-webster.com/dictionary/ophthalmia)

1. What exact term, modifier, and definition does the originating record use? definition
2. Which author, terminology edition, or historical source supports this interpretation? provenance

Neonatal meaning

Ophthalmia neonatorum denotes neonatal conjunctivitis; it should be preserved as a qualified meaning rather than applied to every ophthalmia record. [MSD Manual](https://www.msdmanuals.com/professional/pediatrics/infections-in-neonates/neonatal-conjunctivitis)

1. Does the source explicitly identify ophthalmia neonatorum or another qualified term? definition
2. Which existing registered model owns the narrower diagnosis, and what relation should this record retain to it? boundary

Documented inflammatory distribution

Represent affected tissues separately for each eye, preserving unspecified or unexamined sites.

1. Which ocular tissues are documented as inflamed in each eye? measurement
2. What examination supports that localisation, and which structures could not be assessed? provenance

Inflammation versus label

An ophthalmia entry should retain whether inflammation was observed, suspected, or merely named in an earlier record.

1. Which findings were reported by the patient, observed during examination, or copied from an earlier diagnosis? provenance
2. What evidence supports inflammation rather than an alternative explanation for the eye complaint? boundary

Episode-linked antecedents

Record clinician-considered antecedents such as ocular injury, surgery, contact-lens use, chemical or ultraviolet exposure, and neonatal context where applicable.

1. Which potentially relevant exposures or procedures preceded onset, and by what interval? provenance
2. Which antecedents are supported as causal, merely associated, or of uncertain relevance? boundary

Attribution evidence

Attach causal claims to the relevant clinical assessment, specimen result, or other evidence while retaining unresolved alternatives.

1. What evidence supports each proposed cause, including specimen site and collection time where testing occurred? provenance
2. Which competing causes remain plausible, and what additional assessment would distinguish them? action

Visual change

Retain measured acuity and reported visual change with their methods, timing, and comparability limits.

1. What is the visual acuity of each eye, using which notation and correction status? measurement
2. How does current vision compare with the documented baseline, and what limits that comparison? measurement

Documented escalation basis

Capture whether visual decline, pain, photophobia, corneal findings, neonatal presentation, or other observations triggered escalation under a reviewed clinical pathway.

1. Which potentially concerning features are present, absent, or unassessed? measurement
2. Which clinician or applicable clinical pathway determines review urgency, and what assessment remains pending? action

Serial ocular state

Compare dated observations separately for each eye, including any newly documented tissue involvement.

1. When did symptoms begin, and how have inflammatory findings changed across examinations? measurement
2. Does the record support persistence, resolution followed by recurrence, or a separate episode? boundary

Response and residual damage

Keep clinician-directed care, observed response, adverse effects, and residual ocular damage distinct from current inflammatory activity.

1. What care was documented, and what subsequent changes or adverse effects were observed? provenance
2. What evidence separates ongoing inflammation from residual damage, and what follow-up has the clinician specified? action

Check these first

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these check these first hold for the sense of ophthalmia this model covers, and on what evidence? provenance

Kinds and varieties

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these kinds and varieties hold for the sense of ophthalmia this model covers, and on what evidence? provenance

Real-world use

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these real-world use hold for the sense of ophthalmia this model covers, and on what evidence? provenance

Failure modes and hazards

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these failure modes and hazards hold for the sense of ophthalmia this model covers, and on what evidence? provenance

Neighbouring kinds and how to tell them apart

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these neighbouring kinds and how to tell them apart hold for the sense of ophthalmia this model covers, and on what evidence? provenance