A 5-Year-Old Boy's Failing Vision

Sean M. Rodriguez; Madhuri Chilakapati, MD; Kimberly G. Yen, MD


August 28, 2018

Clinical Presentation

A 5-year-old boy presented to the eye clinic after a failed vision screening exam. He had no history of eye problems and was otherwise healthy. His parents stated that they were unaware of any vision issues until he had his vision checked at the pediatrician's office. Examination demonstrated 20/400 vision in the right eye and 20/20 vision in the left eye. Motility and external examination were normal. The slit-lamp exam demonstrated no abnormalities. The fundus exam was performed in the left eye (Figure 1) and the right eye (Figure 2).

The patient's cycloplegic refraction was -9.50 in the right eye and +1.00 in the left eye.

Figure 1. Fundus photo of the left eye. Figure 2. Fundus photo of the right eye.


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