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Infant with a cloudy cornea
  1. Stephen Doherty1,
  2. Amy Tolson2,
  3. Eibhlin McLoone3,
  4. Stephen Mullen2
  1. 1 Emergency Department, Royal Belfast Hospital for Sick Children, Belfast, UK
  2. 2 Paediatric Emergency Department, Royal Belfast Hospital for Sick Children, Belfast, UK
  3. 3 Ophthalmology, Royal Belfast Hospital for Sick Children, Belfast, UK
  1. Correspondence to Dr Stephen Doherty, Royal Belfast Hospital for Sick Children, Belfast BT12 6BA, UK; sdoherty42{at}

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A 4-month-old boy presents to the emergency department with a cloudy appearance in his left eye, noted by mum on day of attendance. The patient is systemically well with no temperature, no recent illness or ocular trauma. He is not dysmorphic and was born in the UK at term. There is no family history of hereditary ophthalmological conditions.

Examination findings are displayed in figures 1 and 2. You note normal pupillary response to light and full range of eye movements without distress. Red reflexes are present.

Figure 1

Infant with left eye deformity.

Figure 2

Obvious tearing noted from left eye.


  1. What signs are present in figures 1 and 2?

    1. Leucocoria and buphthalmos

    2. Buphthalmos and epiphora

    3. Epiphora and hyphema

    4. Blepharospasm and ectropion

  2. What is the most likely …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.