Tractional Folds in Pediatrics — Case | General Pediatrics | SMLE Q#18165
SMLE Question #18165
Pediatrics
General Pediatrics
Objective: OBJ-377
Last updated: February 2026
A 12-month-old boy is brought because a white reflex is seen in photos of the right eye. Parents report frequent play in outdoor sand and occasional geophagia. There is no fever, no history of trauma, and no family history of eye disease or childhood cancers. Dilated examination shows unilateral vitreous inflammation and a peripheral elevated white retinal lesion with tractional folds; no intraocular mass is seen. Ocular ultrasound shows no intraocular calcification. Which diagnosis is most likely?
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