Differential diagnosis of of (white pupil)leukocoria in infants
"predict"
- Presistent hyperplastic primary vitreous:congenital anomaly with fibrosis of anterior vitreous so there is opacity behind the lens.
- Retinoblastoma(the most important cause).
- Retinopathy of prematurity:- due to exposure of premature infants to high oxygen concentration in incubators with subsequent fibrosis and tractional retinal detatchment.
- Endopthalmitis.
- Dysplasia of retina.
- Inflammatory cyclitic membrane:- a membrane of exudate lie behind the lens.
- Congenital Cataract (the most common cause).
- Coat's disease:-unilateral extensive leakage from the retinal vessels resulting in large massses of subretinal lipids.
- Toxocariasis.
Dr Ibrahim