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Volume 354:2078-2079 May 11, 2006 Number 19
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Case 5-2006: Loss of Vision in the Right Eye

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 by Walton, D. S.
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To the Editor: In the Case Records, Walton at al. (Feb. 16 issue)1 elegantly discuss retinoblastoma, but their definition of leukokoria is inaccurate. Leukokoria is taken directly from the Greek and means simply "white pupil." When the normal pupil is observed with a flashlight, it appears black because little light from the eye's interior is reflected back to the examiner. If a white object, such as a mature cataract or intraocular tumor, is sufficiently anterior in the eye, it reflects enough light to make the pupil appear white. When observed coaxially, as with an ophthalmoscope, light reflected from the choroid . . . [Full Text of this Article]




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