Injected Eye

This is another newborn with unilateral conjunctival injection. On initial examination, the right pupil was about 2mm in diameter and the normal left pupil was 5-6mm. A retinal reflex was not present on the right side. This photo was taken after dilating drops were placed. Some dilation of the right pupil is noted, but it was not equal with the left, and still the retina could not be well seen. The differential diagnosis includes tumor and vascular abnormalities. An ultrasound of the eye was done to evaluate this finding further.

photo by Janelle Aby, MD