A hand-held biomicroscope may be used for evaluation of the anterior segment or the parent/caregiver may be able to position and hold the toddler in a standard biomicroscope. If a problem is suspected, but use of the biomicroscope is impossible, the optom may attempt an examination using sodium fluorescein and a Burton lamp. Another simple alternative is to use a self-illuminated, hand-held magnifying lens, or a 20 D condensing lens with a light source.