Hi. I'm online and happy to answer your question today.
Being -6 myope can change the pupil reflex when a child's picture is taken.
Of course, the most worrisome cause of a white/abnormal reflex in pictures of children are the presence of a serious eye condition such as retinoblastoma, cataract etc.
hi is +6 sorry
If the optician dilated your Grand-daughters he should have been able to rule out any large abnormalities such as that.
If the optician did not give your grand daughter drops (atropine) prior to doing streak retinoscopy I would not put too much value on that result.
Taking her to a pediatric ophthalmologist is the way to go.
But, in any event, the optician, although they are not trained eye doctors, should have been able to rule out any large and obvious abnormalities such as a cataract or very large tumor.
he did the drops in her eyes
what about coats
As a retina specialist who treats many coats patients I can tell you, first of all, this is a rare condition. Secondly, I'd not jump to any conclusions at this point. 99% of patients I see for abnormal picture reflexes have no serious eye problems outside or squint, refractive errors or the optic nerve lining up with the camera.
And extreme coats would not be missed on a dilated exam, even by a novice optician.
But you do need to take her to a pediatric ophthalmologist for a complete exam.
I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. And please let me know if the rating system gives you any troubles. Thanks in advance, Dr. Rick