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Please contact your friend immediately. It will be hard not to alarm her as those pictures are alarming. She needs to see a pediatric opthalmologist immediately. Only an in person exam can tell for sure but that picture is alarming. It need not be a retinoblastoma but it could be, could be eye malformations, lens problems.
We have already found one child with retinoblastoma from pictures just like this.
Please give me some follow up. Mom should call her peditrician for an immediate referral today. I know it will upset her and alarm her but some things are alarming.
You are a good friend for your concern.
JCH MD
JCH MD
I usually just lurk about here, but I couldn't help commenting on this (even though the dr has already said what needs saying).
I will pray with you that this is not retinoblastoma, but if it is, please know you have likely saved this child's life. I have worked in eye care for 20+ years, many of those in oculo-plastic and retinal practices, and I've only ever seen one case of retinoblastoma. That case was caught by a pediatrician and referred to us for treatment. This photo is amazing and your observation extraordinary.
Kudos to you for being brave enough to speak up, ask the right questions and then make the necessary call. How blessed your friend is to have you.
JCH MD
ny2125 - Yes they would. The eyes may look normal, can go unnoticed, it starts out small, so in a baby, the child would seem normal. Flash photography will bring it out but would be far less visible on a face to face basis. I believe blindness can occur later if retinoblastoma goes unnoticed.
JCH MD
http://www.click2houston.com/news/19010729/detail.html
JCH MD