Toddler With Tearing and Sensitivity to Light

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Authors: 

SANJEEV Y. TULI, MD, CHRISTINA MCGOWAN, MD, MARIA KELLY, MD, and SONAL TULI, MD
University of Florida College of Medicine, Gainesville

Dr Sanjeev Tuli is associate professor, Dr McGowan is a resident, and Dr Kelly is assistant professor in the department of pediatrics and Dr Sonal Tuli is associate professor in the department of ophthalmology at the University of Florida College of Medicine in Gainesville.

Alexander K. C. Leung, MD—Series Editor: Dr Leung is clinical professor of pediatrics at the University of Calgary and pediatric consultant at the Alberta Children’s Hospital in Calgary.

HISTORY

A 2-year-old girl with tearing and redness of her right eye for the past 2 to 3 days. Her parents stated that she occasionally rubbed her right eye and squinted in the sunlight. The child had been healthy and had no other acute concerns. Prior medical history was unremarkable, and review of systems was negative.

PHYSICAL EXAMINATION

Visual acuity central, steady, and maintained in both eyes. On inspection, child appeared photophobic in the right eye—the eye would easily tear with ophthalmologic examination. Right temporal conjunctiva injected with a raised whitish lesion. Minimal clear, nonpurulent discharge. No eye pain or swelling of surrounding soft tissues. Remaining eye examination findings completely normal.

WHAT’S YOUR DIAGNOSIS?

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