Abstract
A nine-day-old male infant presents with his mother to the pediatric clinic with a concern of a white spot in his right eye. There was no history of antenatal or perinatal complications and the mother's serology was negative. Physical examination was remarkable only for leukocoria in the right eye. He was evaluated to have a Mittendorf dot. This is a benign clinical finding. Pupillary reflex check is an important part of a physical examination which can recognise pathological conditions such as cataract, retinoblastoma, metabolic errors with ocular manifestations and lead to early treatment before the child loses vision.
Highlights
Infants are screened at the time of birth and periodically after for pupillary red reflex.Leukocoria can be detected by family members or is usually picked up by the pediatrician during screening for red reflex by direct ophthalmoscopic examination
A nine-day-old male infant presents with his mother to the pediatric clinic with a concern of a white spot in his right eye
We present the case of an infant who presented with unilateral leukocoria
Summary
Infants are screened at the time of birth and periodically after for pupillary red reflex. Retinoblastoma is of primary concern when leukocoria is detected It represents about 6% of malignant tumors in children five years of age and younger [1]. The arrest of the regression leads to persistent hyperplastic primary vitreous (PHPV) It is one of the commonest benign lesions to cause leukocoria. The mother had noted a whitish lesion in his right eye She did not have any other concerns regarding the infant. The infant was referred to a pediatric ophthalmologist who evaluated him via fundoscopic examination and a diagnosis of a Mittendorf dot was confirmed He was found to have oblique myopic astigmatism of both eyes. Infant has been following up with the ophthalmologist without any current abnormalities of vision till nine months of age He may require glasses as he grows older due to his myopic astigmatism
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