PMC5960257_01
Four different smartphone photographs. In all pictures the child is not fixing directly on the camera, which resulted in a white pupillary reflex. Leukocoria is due to reflection off the optic nerve head.
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A 3-year-old male infant with his alarmed parents were referred to our emergency department for a 1-month history of leukocoria in the right eye, which was detected in all smartphone photographs taken at different times (Figure 1).
Color fundus photograph composition of this patient's right eye. Optic nerve, vessels, and macula are normal. Notice the retinal nerve fiber layer, especially detectable around the fovea and vasculature, a normal finding in children.
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The macula showed a normal reflex, and the disc margins were distinct (Figure 2).
B-scan ultrasonography confirming normal posterior pole of the right eye.
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B-scan ultrasonography on the patient did not show any underlying retinal pathology (Figure 3).