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Leukocoria in a 4-year-old boy.

Authors :
Altamirano F
Gonzalez E
Oke I
Source :
Digital journal of ophthalmology : DJO [Digit J Ophthalmol] 2024 Jun 06; Vol. 30 (2), pp. 42-44. Date of Electronic Publication: 2024 Jun 06 (Print Publication: 2024).
Publication Year :
2024

Abstract

A healthy 4-year-old boy referred for evaluation of an abnormal red reflex in the left eye was noted, on fundus examination, to have extensive white, striated lesions surrounding the optic nerve that involved the superior and inferior macular arcades. On further examination, he was found to have ipsilateral high myopia and amblyopia. The triad of unilateral myelinated retinal nerve fibers, myopia, and amblyopia led to a diagnosis of Straatsma syndrome, which requires early treatment to prevent permanent vision loss. Treatment comprised a contact lens for refractive correction of the left eye, patching of the right eye, and full-time polycarbonate protective lenses. With 2 years' follow-up, the left eye failed to improve appreciably.<br /> (Copyright ©2024. All rights reserved. Reproduction in whole or in part in any form or medium without expressed written permission of the Digital Journal of Ophthalmology is prohibited.)

Details

Language :
English
ISSN :
1542-8958
Volume :
30
Issue :
2
Database :
MEDLINE
Journal :
Digital journal of ophthalmology : DJO
Publication Type :
Academic Journal
Accession number :
38962670
Full Text :
https://doi.org/10.5693/djo.02.2024.03.005