Case Archive
Pediatrics, Pediatric Ophthalmology
Ref. # 65718

A Pennsylvania infant was taken for periodic well-baby care for the first six months of her life. The family then took the infant to a new pediatrician, who noticed an opaque right pupil during the first examination. A cataract was removed surgically one week later. Patching therapy to correct amblyopia and optical rehabilitation with contact lenses were unsuccessful and discontinued after 14 months. A medQuest pediatrician reported there was a negligent failure to confirm and document the presence or absence of red reflexes in each eye. Moreover, multiple photographs of the infant consistently and clearly showed an abnormality in the right eye. A medQuest pediatric ophthalmologist opined that the initial pediatricians failed to adhere to the standards of newborn and well-baby eye care. With appropriate and timely diagnosis and treatment, the infant's vision would have improved.

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