Unilateral Leukocoria In Older Children
A Case Report

1. Lely Retno Wulandari
2. Mutia Arumi
3. Hariwati Moehariadi

Saiful Anwar Hospital, Malang, Indonesia

The unilateral leukocoria has just happened in 3 months at the age of 7 years. We performed routine ophthalmic examinations . The visual acuity in the right eye was light perception with bad projection. The anterior segment was normal despite of leukocoria which appears in the posterior lens as a white vascularized tissue covering the entire pupil ( both undilated and dilated). The lens was clear. The first examination of A-scan ultrasonography showed a low to medium echo in the anterior and medium vitreous, a week later the lesion showed a progression. An MRI results showed a solid heterogenic mass at the posterior lens through anteroinferior wall of the right eye, enhanced with contrast with size of 12x7 mm, but there was no sign of calcification. The right eye was smaller than the left eye. With all of this examination results, we still couldn't make a definitive diagnose of the unilateral leukocoria. We conservatively followed the disease progression every week with ultrasonography to make sure that unilateral leukocoria was not retinoblastoma. The possibilities of anterior PHPV, coat's disease and uveal melanoma still cannot exclude. Therefore we didn't take an invasive procedure.