An 18-month-old female was presented to the office for examination. A third-year medical student took the history and performed the initial examination. On a routine ophthalmoscopy exam, the student noticed that the child does not have a red reflex in the right eye. This is reported to the physician who confirmed the exam finding. There is no history of weight loss, anorexia, crossed eyes, fever, or irritability. Physical Exam: VS T 37.0, P 110, R 26, BP 92/42. Height, weight, head circumference are all at the 40th percentile. She is alert and active.
Leukocoria is present in the right eye. A normal red reflex observed in the left eye. Pupils are equal and reactive. The eyes are conjugate. The facial function is good. The remainder of the physical examination is negative. The child is referred to an ophthalmologist. An ophthalmoscopy exam performed under general…
