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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.
What signs are present in figures 1 and 2?
Leucocoria and buphthalmos
Buphthalmos and epiphora
Epiphora and hyphema
Blepharospasm and ectropion
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.