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Infantile leukocoria caused by posterior lenticonus
Annals of Ophthalmology
|July 1, 1984
Summary
Bilateral posterior lenticonus, an acquired lens abnormality, can mimic retinoblastoma in infants presenting with leukocoria. Early diagnosis through physical examination and ultrasound is crucial for appropriate management.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Medical Imaging
Background:
- Posterior lenticonus is an acquired lens abnormality characterized by a bulging posterior capsule and cortex.
- It leads to progressive opacity, potentially causing visual impairment.
Observation:
- This report details an unusual case of bilateral posterior lenticonus in an infant.
- The infant initially presented with leukocoria, a white pupillary reflex, prompting referral with a suspected diagnosis of retinoblastoma.
Findings:
- Careful physical examination and ocular ultrasound were instrumental in diagnosing posterior lenticonus.
- Ultrasound imaging also proved valuable for surgical planning in this case.
Implications:
- Posterior lenticonus must be included in the differential diagnosis for pediatric leukocoria, especially when retinoblastoma is suspected.
- Accurate diagnosis through clinical assessment and ultrasound is essential for guiding appropriate therapeutic strategies and avoiding misdiagnosis.