RT Book, Section A1 Lueder, Gregg T. SR Print(0) ID 56150579 T1 Chapter 19. Abnormal Red Reflex T2 Pediatric Practice: Ophthalmology YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 9780071633802 LK accesspediatrics.mhmedical.com/content.aspx?aid=56150579 RD 2024/03/28 AB Table Graphic Jump Location|Download (.pdf)|PrintThe Problem“My child’s eye reflex looks white.”Common CausesCataractRetinoblastomaPseudoleukocoriaOther CausesRetinal abnormalitiesDetachment Coat’s diseaseRetinopathy of prematurityRetinal colobomaKEY FINDINGSHistoryGeneralWhen first noticed?Getting worse?Does the eye wander?Does the child appear to see?CataractFamily history of childhood cataractsOther systemic/developmental problemsRetinoblastomaFamily history of retinoblastomaPseudoleukocoriaOnly noticed in photographs when taken from the sideRetinal disorderPremature birthFamily history of retinal diseaseExaminationGeneralAssessment of red reflex with direct ophthalmoscopeVisionStrabismusCataractClouding of lensRetinoblastomaWhite mass posterior to lensRetinal detachmentGrey mass posterior to lensPseudoleukocoriaRed reflex appears normal when viewed from straight aheadAbnormal when viewed from side