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2004 Series : June 8, 2004

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This 2-1/2 year old girl presents with a white pupil as shown above.  The parents have noted this appearance for 6 months.

1.  The differential diagnosis of a "white pupil" in a child includes:
 

a. cataract
b. retinoblastoma
c. Coats' disease
d. all of the above

 

2.  In this case the most likely diagnosis is:
 

a. cataract
b. retinoblastoma
c. Coats' disease
d. none of the above

 

3.  The initial evaluation of this patient should include:
  a. imaging of the orbit with CT
b. dilated pupil examination of the retina of the fellow eye
c. retinal examination of the parents and any siblings
d. all of the above

 

For answers to the above, click here: