Good evening Curofians. Spotter : Eye A. What is your diagnosis? B. Describe your findings. C. What is your next step? D. Differential diagnosis. Thank you. (Courtesy : Internet)
Revered sirs and madams good evening. SUGGESTIVE KEY : Q1. What is your diagnosis? Mostly unilateral (Left sided) retinoblastoma. Q2.Describe your findings? Left eye shows a white pupillary reflex also called as leukocoria. Q3.What is your next step? Complete eye examination should be performed including an estimation of patient's visual acuity for both eyes followed by a dilated fundus examination with indirect ophthalmoscopy. Q4. Differential diagnosis. Most common - A. Toxocariasis, B. Persistent hyperplastic primary vitreous (PHPV), C. Coats disease. Others - D. Retinopathy of prematurity, E. Incontinentia pigmenti, F. Norrie disease, G. Medulloepithelioma, H. Retinal dysplasia, I. Retinal astrocytomas, J. Astrocytic hamartomas, K. Colobomas, L. Myelinated nerve fibers, N. Congenital cataract, O. Retinal detachment, P. Vitreous hemorrhage, Q. Trauma. Thank you very much for your participation. Comments are welcome.
A. Leukocoria or Amaurotic cats eye reflex B. The pupil on the left eye of the child shows a characteristic yellowish white reflex when compared to the right pupil which appears jet black. C. D/D... 1. Retinoblastoma 2. Congenital cataract 3. Coats disease or retinal telangiectasia 4. Retrolental fibroplasia 5. Persistent hyperplastic primary vitreous 6. Toxocara endopthalmitis D. The next step in the diagnosis is FUNDOSCOPY. Regards...
Lukocoria ,retinoblastoma lt eye Rule out other caues Cataract,retinal detachment, retinopathy of prematuarity,retinal vascular abnormality as Coat’s disease White pupil primary sign of retinoblastoma differentiate from other causes psuedoblastomas already enumorated Mostly first noted by family or on flash photography with 15degree of axis nasally the optic disc can fill the pupil giving white reflex Red reflex exam is is warranted at every visit from birth to three year as part of screening Age of onset, duration of white reflex previous red reflex rule out congenital condition Other symptoms pai, redness photophobia, strabismus and blurred vision Historyof retinopathy of prematuarity, trauma, prenatal infection TORCH syndrome toxoplasmosis, other agentas,rubella, cytomegalovirus& herpes simplex may show white teflex Tuberous sclerosis associated with retinal astrocytomas , endogenous endophthalmitis these all in mind can lead to exact diagnosis
Dx :Blue sclera both eyes : Dx : Lt eye yellow reflex in pupil. D.D : (blue sclera) Osteogenesis imperfecta. Marfan's syndrome. D.D : (yellow reflex in pupil). Retinoblastoma. Endophthelmitis Persistent hyperplastic primary vitreous. Cataract (White reflex in pupil). * Pt is to be investigated under GA for BOTH eyes fundus examination & iop measurements. * Rx : Rx will depend upon the cause.
Retinoblastoma is the most common intraocular tumor of childhood. About 75% of the sporadic tumors are caused by somatic mutations and are not transmissible. Sporadic tumors caused by somatic mutations are always unilateral. Unfortunately, unilateral involvement does not exclude heritable disease: about 10% to 15% of infants with unilateral sporadic tumors have heritable germinal mutations. about 90% of patients present with leukocoria, an abnormal, typically white pupillary reflex. Leukocoria is the classic clinical manifestation of retinoblastoma. In the older literature, this finding was fancifully likened to the illuminated tapetal light reflex of the cat (amauroticl cat's - eye reflex). The white pupillary reflex is caused by tumor in the vitreous cavity
retinoblastoma yellowish white pupillary reflex in left eye fundoscopy, b scan, other eye examination congenital cataract ...endohthalmitis....rd ...phpv
Retinoblastoma leucocoria CTA scani orbit, screen for other eye, enucleation, radiotherapy, congenital cataract, toxacara canis, PHPV
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a 2months baby , look his/her eyes , the sign is by birth ...
Dr. Santosh Sharma2 Likes11 Answers - Login to View the image
Leukocoria (also leukokoria or white pupillary reflex) is an abnormal white reflection from the retina of the eye. . . Leukocoria resembles eyeshine, but leukocoria can occur in humans and other animals that lack eyeshine because their retina lacks a tapetum lucidum. . Leukocoria is a medical sign for a number of conditions, including Coats disease, congenital cataract, corneal scarring, melanoma of the ciliary body, Norrie disease, ocular toxocariasis, persistence of the tunica vasculosa lentis (PFV/PHPV), retinoblastoma, and retrolental fibroplasia. . Because of the potentially life-threatening nature of retinoblastoma, a cancer, that condition is usually considered in the evaluation of leukocoria. In some rare cases (1%) the leukocoria is caused by Coats' disease (leaking retinal vessels).
Dr. Aslam Shaikh5 Likes1 Answer - Login to View the image
USES OF LEUKOKORIA THE CAUSES ARE AS FOLLOWS 1 CONG CATARACT 2 RETINOBLASTOMA 3 R O P 4 PRSISTANT CENTRAL HYLOID ARTERY 5 PERSISTANT POST VASCULAR MEMBRANCE 6 P P V SHEAH 7 PERSISTANT PUPILLARY MEMBRANE 8 COATS DESEASE 9 TOXACORIASIS 10 NORIES DESEASE 11 CYTOMEGALIC INCLUSION RETINITS 12 HERPES SIMPLEX RETINITS 13 ENDOPHTHALMITS 14 COG TOXALASMOSIS 15 GRANULOMATOUS UVITS
Dr. Gowhar Ahmad4 Likes1 Answer - Login to View the image
5yrs old fch presented wd re shru nken globe left eye leucochoria ct findings like this what is dx trt
Dr. Udatha Varalakshmi0 Like17 Answers - Login to View the image
6 year old boy with blurred vision since 2 to 3 mounth . i have just got the picture.. dx?
Dr. Biku Das0 Like1 Answer
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