Fifteen minutes consultation: a structured approach to the child with a white red reflex: Table 1

Varughese, Rachel; Frith, Peggy

doi:10.1136/archdischild-2013-305531

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…Given the significant implications of RB and the efficacy of early treatment, 6 RB should remain a chief concern for patients who present with an ARR, especially leukocoria. 7 However, our data show that RB is a relatively uncommon diagnosis in patients who present with ARR when compared with other diagnoses.…”

Section: Discussionmentioning

confidence: 99%

“…Improper techniques can inadvertently display the reflex as falsely dark, off-center, or even white from reflection off of the optic nerve. 26 If a black reflex is noted, which is suggestive of a cataract, corneal scar, or intraocular hemorrhage, 6 then a dilated eye examination or referral to an ophthalmologist should be considered. 26…”

Section: Discussionmentioning

confidence: 99%

“…Improper techniques can inadvertently display the reflex as falsely dark, offcenter, or even white from reflection off of the optic nerve. 26 If a black reflex is noted, which is suggestive of a cataract, corneal scar, or intraocular hemorrhage, 6 then a dilated eye examination or referral to an ophthalmologist should be considered. 26 Limitations in our study include the dependency on patients to make follow-up appointments to detect subsequent amblyopia development/treatment and variability in final diagnosis coding among providers.…”

Section: Discussionmentioning

confidence: 99%

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Abnormal Red Reflex: Etiologies in a Pediatric Ophthalmology Population

Lin

Yen

Zhu

et al. 2020

Clin Pediatr (Phila)

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Children who present with an abnormal red reflex (ARR) are often referred to ophthalmology due to concern for retinoblastoma. However, an ARR can indicate a wide variety of pathologies, all of which have the potential to develop amblyopia and irreversible vision loss. In this retrospective cohort study, we demonstrate that children who presented with an ARR had a mean age of 22.0 ± 32.5 months and were more frequently referred by their pediatricians (74.5%). The majority of these patients (61.8%) had a normal examination on further evaluation, followed by refractive error (20.4%). Amblyopia was diagnosed in 83.9% of patients with refractive error, with a mean age of 50.3 ± 49.2 months. Because many ARR-associated pathologies require time-sensitive treatment to prevent vision loss, proper screening is critical for diagnosis. Pediatricians play a key role in screening, so education on more common ARR pathologies can better facilitate referrals and improve outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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