-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