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Figure 1 - Fundus

Photos courtesy of: Carol L. Shields, M.D. Used with permission. Not to be reproduced.

A 7-year-old male child was referred for the management of retinal detachment in his right eye. On examination, his best corrected visual acuity was 20/20 in the left eye and 20/400 in the right eye, with a relative afferent pupillary defect. Anterior segment examination was normal in both eyes. Above is the fundus picture of the right eye and it was normal in the left eye.

1.	What is your most probable diagnosis?
	a. Coats' disease b. retinoblastoma c. toxocariasis d. retinal detachment
2.	The line of treatment would be:
	a. chemotherapy and focal consolidation b. retinal detachment surgery c. enucleation d. cryotherapy and laser treatment
3.	The most important tool of investigation in this case is:
	a. ultrasonography b. computed tomography c. indirect ophthalmoscopy and fluorescein angiography (FFA) d. none of the above

For answers to the above, click here on or after June 3, 2008.