To see views enlarged, click on the individual pictures...

This two-year-old boy was presented by his mother who showed you this picture that she took of her child last week using a flash camera. She was concerned that the eyes looked different and wondered why.

1.	Your initial impression is:
	a. She should use the “red eye” reduction option on her camera next time. b. This is seen in the normal from time to time and is of no real concern. c. Re-check is needed in two months to see if the problem persists. d. A thorough eye examination should be done without delay including retina examination using the indirect ophthalmoscope with a dilated pupil. e. The mother needs reassurance.
2.	If on examination of the retina you see a 4 disc diameter raised whitish lesion, a logical plan includes:
	a. CT scan looking for calcium b. anterior chamber needle biopsy c. needle biopsy of the anterior chamber d. B scan ultrasound e. (a) and (d)
3.	Vital to making a rapid and accurate diagnosis in this case is:
	a. finding a wide retinal detachment b. seeing prominent ciliary processes c. finding a Mittendorf dot d. seeing calcium on the CT scan e. none of the above

For answers to the above, click here on or after May 3, 2011.