Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Pathological Case of the Month

Gregg T. Lueder, MD; Jon M. Brandt, MD; Morton E. Smith, MD
Arch Pediatr Adolesc Med. 1997;151(10):1057-1058. doi:10.1001/archpedi.1997.02170470091019.
Text Size: A A A
Published online


A 4-YEAR-OLD boy was referred to us for the evaluation of leukocoria ("cat eye reflex") in the left eye. His mother had originally noticed an abnormal light reflex approximately 4 months earlier. The patient was otherwise healthy and he had not noticed the decreased vision in his left eye. There was no family history of ocular tumors.

Examination results showed a white fundus reflex in the left eye (Figure 1). Visual acuity was normal in the right eye and he could only appreciate hand motions in the left eye. A large, white, opaque mass covered the inferior portion of the left retina. Abnormal blood vessels were present on the surface of the lesion and seeds of material were floating in the vitreous cavity. The optic nerve was not visible. The right eye was normal. A computed tomographic scan showed a mass in the posterior portion of the left globe (Figure


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.