Wednesday, 24 February 2010

-Differential diagnosis of of leukocoria in infants.


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

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