Peds Ophtho Case 1: Introduction

History of Present Illness (HPI)

A 2-year-old girl is brought to the pediatrician’s office for a routine health maintenance visit. Her father has noticed that recent photos of the patient have consistently shown a white glare in the center of her right eye. He reports no changes to the patient’s left eye. The father denies any symptoms of eye pain, excessive tearing, redness, swelling, and discharge. He reports no recent trauma or recent illness. There have been no changes in eating habits or bowel movements.

What’s at the top of your differential diagnosis? Choose at least 3 before moving on!
Congenital Cataract
Retinopathy of Prematurity
Congenital Glaucoma
Ocular Toxocariasis
Congenital Rubella
Persistent Fetal Vasculature
Corneal Scar
Retinal Detachment
Coats Disease

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