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Atypical newborn eye examination
  1. Gemma Edwards1,
  2. Muhammed Aman Ullah2,
  3. Raju Sunderesan3
  1. 1 Paediatrics, Royal Hospital for Children, Glasgow, UK
  2. 2 Paediatric Ophthalmology, Royal Hospital for Children, Glasgow, UK
  3. 3 Neonatal Unit, Ayrshire Maternity Unit, University Hospital Crosshouse, Kilmarnock, UK
  1. Correspondence to Dr Gemma Edwards, Royal Hospital for Children Glasgow, Glasgow, UK; gemma.edwards{at}

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You are asked to perform a routine newborn examination on a term baby, out of hours, as his parents are eager to take him home. When examining his eyes, you note this appearance (figures 1 and 2). The parents ask if you have found a problem and what this means for their baby.

Figure 1

Left eye.

Figure 2

Both eyes.

Test your knowledge

  1. Examination: what term describes the appearance of the eyes in the images?

    1. Coloboma.

    2. Aniridia.

    3. Retinal detachment.

    4. Epiphora.

  2. Ophthalmological problems: which of the following can occur as a result?

    1. Photophobia.

    2. Glaucoma.

    3. Cataract.

    4. Nystagmus.

    5. Decreased visual acuity.

    6. All of the above.

  3. Aetiology: what is the most frequent cause of aniridia?

    1. Congenital infection.

    2. Inherited—autosomal dominant.

    3. Sporadic.

    4. Inherited—X-linked.

  4. Associated problems: should any other investigations be considered?

    1. Chest X-ray

    2. Renal ultrasound

    3. Full …

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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.