Leukocoria caused by occult penetrating trauma in a child.
OBJECTIVE
To report a child with leukocoria caused by occult penetrating trauma.


METHODS
Case report. The clinical findings and surgical repair of acquired leukocoria of the right eye in a 2-year-old boy are presented.


RESULTS
In the right eye, slit-lamp examination disclosed a retrolenticular cyclitic membrane and moderately severe (3+) cells and flare anterior chamber reaction. The eye was hypotonous, and B scan showed that the membrane was associated with a retinal detachment. Surgery was performed to repair the retinal detachment and to remove the retrolenticular membrane. Two months before initial examination, the patient had been attacked by a rooster.


CONCLUSIONS
Occult penetrating trauma should be considered in the differential diagnosis of pediatric leukocoria.
Guemes
A
A
Division of Ophthalmology, Cleveland Clinic Foundation, USA.
Wright
K W
KW
Humayun
M
M
Foster
R E
RE
Lewis
H
H
D000818:Animals; D000867:Anterior Chamber / Q000473:pathology; D001733:Bites and Stings / Q000150:complications*; D002387:Cataract Extraction; D002645:Chickens; D002675:Child, Preschool; D002924:Ciliary Body / Q000293:injuries* / Q000473:pathology; D015807:Eye Injuries, Penetrating / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007908:Lens, Crystalline / Q000293:injuries* / Q000473:pathology; D008297:Male; D012160:Retina / Q000293:injuries* / Q000473:pathology; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery