R R

What Is the White Light Reflex?

An abnormal white or gray reflection seen in the pupil, instead of the normal red-orange reflection (red reflex) observed during ophthalmoscopy or flash photography. It is also known as Leukocoria (white pupil).

Link to This Resource Page

Provide a valuable resource to your clients or customers by linking to this resource page. Just place the following link on your website.

To display this...

What Is the White Light Reflex?

An abnormal white or gray reflection seen in the pupil, instead of the normal red-orange reflection (red reflex) observed during ophthalmoscopy or flash photography. It is also known as Leukocoria (white pupil).

read more about white light reflex ...

Copy this HTML:

Copy HTML Copied!

Significance

The white reflex is a critical diagnostic sign, particularly in pediatrics, as it indicates an opacity or mass blocking the visualization of the retina.

Causes

The most serious cause is Retinoblastoma (a malignant tumor). Other causes include congenital cataract, Coats' disease (retinal vascular anomaly), or persistent fetal vasculature.

Screening

Pediatricians and ophthalmologists screen for this reflex during routine exams using the ophthalmoscope to shine light into the pupil and observe the reflection.

What is the normal reflex?

The normal reflex is red-orange (red reflex), which is light reflecting off the vascular retina.

Why is it an emergency sign?

Because one of the main causes is retinoblastoma, a white reflex requires urgent referral and investigation to rule out a life-threatening, blinding malignancy.

Can a cataract cause a white reflex?

Yes. A dense congenital cataract (clouding of the lens) prevents light from reaching the retina and causes a white or gray pupillary reflection.