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Hello, My 20 month old grandaughter has a white pupil on a

 
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  • Answered by:Dr. James
  • Board Certified Ophthalmologist
  • Positive Feedback: 97.9 %
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Customer Question

Hello,
My 20 month old grandaughter has a white pupil on a wedding photograph ( her rt eye).Please is there anything other than RB that could cause this ? We only saw the photograph today, and obviously are going to the GP tomorrow. I`m an intensive care nurse, and we are all praying it is not RB.

 

Optional Information:
Gender: Female
Age: 20 MONTHS

Already Tried:
Sawthe picture today.........goingto the GP tomorrow.

Submitted: 912 days and 15 hours ago.
Category: Eye
Value: £26
Status: CLOSED

Accepted Answer

Picture
Expert:  Dr. James replied 912 days and 15 hours ago.


Dr. James :

Hello.

Customer :

hi

Dr. James :

Please Note:
JustAnswer is a public forum. Information provided is for educational purposes & does not establish a patient-physician relationship nor substitute for a personal consultation with a physician.

Do you understand and accept those terms?

Customer :

Yes

Dr. James :

Thank you.

Dr. James :

Has your granddaughter had an eye exam?
Any problems at your well child visit with her pediatrician?
Any signs of poor vision in that eye?

Customer :

No.............onlysaw the photo today, we are taking her to the GP tomorrow. IS THERE ANY OTHER CODITION THAT COULD MIMMIC rb?

Dr. James :

Other than the picture, does her pupil appear white in person?

Customer :

No Sir

Dr. James :

The first thing is to ensure that your grand-daughter truly has an absent red reflex.

Dr. James :

It is not uncommon to see a white pupil on a photograph in a normal person.

Dr. James :

This happens because of the angle of the flash and the camera could be off axis with the eye.

Dr. James :

So, I would not worry at this time. Often times these complaints turn out to be nothing.

Customer :

Her other pictures of the same day have either bilateral red eye, or nothing

Dr. James :

Then that is a good sign.

Customer :

ohhhhhhhhhhhhhhhhhhhhhhhhh

Customer :

thank you

Dr. James :

So, if there were a problem, the problems could be RB as you mentioned. It can also be a cataract, other retinal problems in the back of the eye, or strabismus.

Customer :

She has dark blue eyes, blond hair

Dr. James :

Since you have not mentioned any other problem other than the photograph today, then it doesn't appear to be anything.

Dr. James :

It is good that you have an appointment to get her evaluated.

Customer :

She doesn`t havestabismus, but her father had it many yrs as a child, was eventually corrected

Dr. James :

Yes. As I mentioned, a white on a one photograph should not be concerning.

Customer :

I`m praying, excuse typing, work 12 hr nights, I`mdead

Customer :

Do any other coditions mimmic RB Sir?

Dr. James :

A white pupil is also called leukocoria. Look at the website below which talks a little bit about it.

http://www.aapos.org/faq_list/leukocoria

Customer :

ok

Dr. James :

I don't think you need to worry, however.

Dr. James :

An eye exam will be able to detect any abnormalities.

Customer :

If it is RB, WHAT ARE HER CHANCES, I realize it`s an impossible question

Customer :

Just a rough guide would be appreciated

Dr. James :

The chances are good if it is RB. 95% cure rate.

http://www.aapos.org/terms_faqs/faq_list/retinoblastoma

Customer :

BRILLIANT...............THANK YOU.

Dr. James :

You're welcome.

Please remember to press the accept button so I can receive credit for assisting you today.

Customer :

mAY i GET BACK TO YOU TOMORROW, TO KEEP YOU UPTO SPEED?

Dr. James :

Yes, that will be fine.

Customer :

yes .I`LL PRES IT.

Customer :

I thank you fromthe bottom of my heart................speak tomorrow. Will press the button now.

Expert TypeBoard Certified Ophthalmologist
Category: Eye
Pos. Feedback: 97.9 %
Accepts: 1900
Answered: 10/11/2010

Experience: Eye Physician and Surgeon

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