3.3.3 Eye - Leukocoria & Other

Question 1

What is leukocoria?

Answer 1

The white pupil

Ax via Red reflex

Question 2

DDx for leukocoria?

Answer 2

• Retinoblastoma
• Cataract
• Persisten foatal vasculature
• Coats disease (exudative retinal condition)
• Endophthalmitis

Question 3

Retinoblastoma usually present before age of?

Answer 3

Before 3 in 75%

Question 4

% of bilateral retinoblastoma?

Answer 4

25%

Question 5

Strabismus need to worry about?

Answer 5

Underlying pathology

Question 6

Congenital cataracts aetiology?

Answer 6

• Familial

- Intrauterine infection: rubella

Question 7

Congenital cataracts aetiology? Metabolic?

Answer 7

Galactosemia

Aminoaciduria

Question 8

Congenital cataracts aetiology? What syndromal cause?

Answer 8

Trisomy 21

Can also be idiopathic

Question 9

Timing of congenital cataracts surgery?

Answer 9

• Unilateral: 1-4 weeks of life

- Bilateral: first 3 months of life

Question 10

What age to get an intraocular lense after cataract surgery?

Answer 10

After age 2

Question 11

DDx of blocked tear duct?

Answer 11

Congenital glaucoma

Corneal irritation from FB or lashes

Question 12

How to manage paediatric ptosis?

Answer 12

• monitor visual acuity
• refraction
• surgery

Question 13

When to do surgery in ptosis?

Answer 13

• If visual function impaired: early

- cosmetic: age 4-5

Question 14

Retinal haemorrhages in a baby, need to think of?

Answer 14

Non-accidental injury