Explaining an abnormal red reflex to a parent — OSCE

Candidate brief (3 minutes to read)

You are the general paediatric registrar in a primary-care clinic. You have just examined six-week-old Aria, brought by her parents for a routine check. On the red-reflex test, performed in a dim room with the ophthalmoscope at about 30 to 45 centimetres, you found a dense white reflex in the right eye and a normal red reflex in the left. Her parents had not noticed anything unusual and feel she sees and behaves normally. You need to explain the finding and its urgency to her parents, arrange the appropriate referral, and advise on what to do and what to avoid before the specialist review. ^{[4] [6]}