Table of Contents
What can cause leukocoria in a child?
Leukocoria can be caused by abnormalities in the lens (eg, cataract), vitreous (eg, hemorrhage), or retina (eg, retinoblastoma) (table 1) [1,2]. It can be the initial manifestation of a wide spectrum of intraocular and systemic disease processes [3-7].
What is the meaning of leukocoria?
leukorrhea, also spelled leucorrhoea, flow of a whitish, yellowish, or greenish discharge from the vagina of the female that may be normal or that may be a sign of infection. Such discharges may originate from the vagina, ovaries, fallopian tubes, or, most commonly, the cervix.
What happens leukocoria?
Leukocoria is an abnormal pupillary reflex more clearly seen on mydriasis or photography. It is often the first sign of a range of serious intraocular disorders including congenital cataract, Coats disease, retinoblastoma, retinopathy of prematurity, toxocariasis, Norrie disease, and retrolental fibroplasia.
What is leukocoria of the eye?
Leukocoria, meaning “white pupil,” originates from the Greek words “leukos” (white) and “kore” (pupil). It refers to the reflection of white light seen upon direct illumination of the fundus through the pupil, in contrast to the usual red glow. Leukocoria of the right eye due to retinoblastoma.
What causes a white pupil?
The normal appearance of the pupil of the human eye is black. The appearance of a white pupil is never a normal condition and requires immediate evaluation by specialists trained in ophthalmology. A cloudy cornea or cataract may be mistaken for a white pupil, but usually a white pupil is due to infection or disease.
How do you detect leukocoria?
Sometimes leukocoria is detected from photographs using a flash when one pupil has an abnormal or “white reflex” compared to the other eye having a normal “red reflex.” Lastly, a routine pediatrician exam can catch leukocoria, specifically when they look into the eyes with a special instrument called an ophthalmoscope.
What does Coats disease look like?
Early signs and symptoms vary but may include vision loss, “crossed eyes” (strabismus), and a white mass in the pupil behind the lens of the eye (leukocoria). Over time, Coats disease may also lead to retinal detachment, glaucoma, and clouding of the lens of the eye (cataracts).
Does Coats disease hurt?
What are signs and symptoms of Coats’ disease? Presenting symptoms in children could be leukocoria, which is an abnormal white light reflection from the pupil of the eye, decreased vision, an eye that crosses inward or turns out, and pain from increased eye pressure in severe cases.
How is coat disease diagnosed?
Diagnosis. A diagnosis of Coats disease is made based upon a thorough clinical ophthalmic evaluation, a detailed patient history, and specialized tests, including retinal fluorescein angiography, diagnostic echography, and in some cases computed tomography imaging of the orbits.
What causes exudates in the eye?
Exudate may ooze from cuts or from areas of infection or inflammation. It is also called pus. In people who have an eye disease called diabetic retinopathy, exudates form in the retina of the eye.