Leukocoria is a term to describe the appearance of a ‘white pupil’. Such an abnormal appearance may be due to an anomaly of the retina or from a reflective opacification within the ocular media along the visual axis at the pupillary area.1
The appearance of leukocoria should never be ignored or overlooked as the eye may harbour a life-threatening tumour, most notably retinoblastoma. Ordinarily urgent referral to an ophthalmologist is indicated.2 Apart from retinoblastoma, there are a number of conditions that can produce leukocoria. These include cataract, persistent hyperplastic primary vitreous, Toxocara chorioretinitis, Coats’ disease and retinopathy of prematurity.
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