Leukocoria caused by occult penetrating trauma in a child.

PURPOSE: To report a child with leukocoria caused by occult penetrating trauma.

METHODS

Case report. The clinical findings and surgical repair of acquired leukocoria of the right eye in a 2-year-old boy are presented.

RESULTS

In the right eye, slit-lamp examination disclosed a retrolenticular cyclitic membrane and moderately severe (3+) cells and flare anterior chamber reaction. The eye was hypotonous, and B scan showed that the membrane was associated with a retinal detachment. Surgery was performed to repair the retinal detachment and to remove the retrolenticular membrane. Two months before initial examination, the patient had been attacked by a rooster.

CONCLUSION

Occult penetrating trauma should be considered in the differential diagnosis of pediatric leukocoria.