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A 5-year-old girl with decreased vision in the left eye
Digital Journal of Ophthalmology 2015
Volume 21, Number 2
May 9, 2015
DOI: 10.5693/djo.03.2014.09.001
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Joel Yap, MBChB | Department of Ophthalmology, Greenlane Clinical Centre, Auckland District Health Board, New Zealand
Dianne Sharp, FRANZCO | Department of Ophthalmology, Greenlane Clinical Centre, Auckland District Health Board, New Zealand
Shuan Dai, FRANZCO | Department of Ophthalmology, Greenlane Clinical Centre, Auckland District Health Board, New Zealand



Differential Diagnosis
A unilateral macular lesion in a 5-year-old child can be caused by an infection, tumor, trauma, or macular dystrophy. Based on clinical appearance alone, a coloboma of the macula could be possible because of the pale discoloration of the lesion. Infective chorioretinitis and pediatric retinal tumors such as retinoblastomas or retinomas could also cause elevated pale retinal lesions.
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