GuidelinesPEML (Paeds Hospital STG)
Leukocoria
Description Diagnostic criteria Referral ICD-10 code: H44.53 DESCRIPTION Common causes of leukocoria (white pupil) include: retinoblastoma, cataract, persistent foetal vasculature, and end-stage ROP. DIAGNOSTIC CRITERIA A white appearance of the pupil instead of the usual black colour. An absent or diminished red-reflex of the fundus of the eye when examined with a direct ophthalmoscope or
Description
Diagnostic criteria
Referral
ICD-10 code: H44.53
DESCRIPTION
Common causes of leukocoria (white pupil) include:
- retinoblastoma,
- cataract,
- persistent foetal vasculature, and
- end-stage ROP.
DIAGNOSTIC CRITERIA
- A white appearance of the pupil instead of the usual black colour.
- An absent or diminished red-reflex of the fundus of the eye when examined with a direct ophthalmoscope or on a photograph of the child.
REFERRAL
Urgent (to ophthalmologist):
- All patients.
Standard Treatment Guidelines and Essential Medicines List for South Africa Paediatric Hospital _2023, 5th edition_Updated July 2024
Chapter 16: Eye Conditions, 16.10 Leukocoria