3. A mother brought her 2 years old boy to the eye
clinic saying that she has recently started to notice
that his right eye has become deviated inwards.
she has also noticed a white coloration in the
pupillary area of his right eye. The boy was born at
full term and was not placed in an incubator
immediately after birth. The boy's father had on of
his eyes enucleated since he was an infant.
7. The following steps should be performed by the attending
ophthalmologist:
1- Re- assure the mother and tell her that there is nothing serious and
send the boy home.
2- Do refraction for the boy with atropine eye drops and prescribe him
eyeglasses to correct the squint.
3- Request an immediate fundus examination of both eyes under
general anesthesia with full mydriasis.
4- Request CT scans for the head and orbits.
5- Warn the mother that there is a possibility for the same condition to
affect future children.
