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Absent red reflex — DCH MCQ

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ModerateNeonatologyAbsent red reflexDCH

A 3-week-old infant has a cloudy white pupil noticed in photographs. Red reflex is absent on one side; feeding and growth are normal. What is the most important red flag?

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Correct answer: E — Absent red reflex in one eye

An absent red reflex may indicate cataract or retinoblastoma and needs urgent ophthalmology assessment. Watery eye can be nasolacrimal duct obstruction, but it does not carry the same threat to sight or life. The pearl is that red reflex abnormality is an urgent finding at any age.

Reference: NIPE screening programme; RCPCH