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JAMA Ophthalmology Clinical Challenge |

Leukocoria and Decreased Vision Detected During a Routine Pediatric Screening Eye Examination QUIZ

Mohsin H. Ali, MD1; Felix Y. Chau, MD1; Javaneh Abbasian, MD1
[+] Author Affiliations
1Illinois Eye and Ear Infirmary, Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago
JAMA Ophthalmol. 2016;134(9):1069-1070. doi:10.1001/jamaophthalmol.2016.1687.
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A 2-year-old African American boy with leukocoria in his left eye noted during a routine well-child visit was unable to read the distance chart, had an APD and a white-yellow mass in the macula OS. What would you do next?

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Figure 1.

Fundus photograph of the left eye on initial presentation. An elevated, dome-shaped, white-yellow mass lesion is seen in the macula.

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Figure 2.

Fluorescein angiography demonstrating unilateral, abnormal telangiectasias with aneurysmal dilations of terminal vessels located in the inferior midperiphery with areas of abnormal perfusion and leaking.

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