Abstract
Purpose: To present a clinical report of patients with prelenticular leukocoria. Methods retrospective study included patients with an initial diagnosis of unilateral leukocoria referred for pediatric cataract surgical treatment during the period between 2005 and 2015 at Sao Paulo-SP, Brazil. Complete ophthalmological evaluation was performed. Results: Seven patients younger than 4 years were evaluated to determine the need for cataract surgery. Slit-lamp biomicroscopy evaluation disclosed two patients with juvenile xanthogranuloma and inflammatory pupillary membrane, threewith secondary inflammatory pupillary membrane caused by idiopathic anterior uveitis, one with prelenticular leukocoria due to presumed congenital toxoplasmosis, and one with an inflammatory membrane due to repeated hyphema caused by iris hemangioma. In all these cases, ultrasonographic examination did not show retinal or lens abnormalities in the affected eye. Conclusion: All patients presented unilateral prelenticular leukocoria with clear lens, requiring no cataract removal.
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