Paediatric information for Absent uncertain red reflex

The following information provides a guide for GPs on how to manage or make a referral for presentation of absent uncertain red reflex in children.

GP Management

• Red reflex check with direct ophthalmoscope
• If normal red reflexes although parental photo shows white reflex, this is photo-leukocoria (an artefact), and a hospital referral is not needed

Referral information

• Always include:
• Child’s date of birth
• Address
• NHS Number
• Child’s social worker details (including Borough), if any
• Parent/carer contact phone number and email if available

Further Assistance

This pathway has been produced by the Moorfields hospital to help clinicians manage the healthcare of Children and Young People. However, if you need to contact a Paediatric clinician, please see below for contact details:

Moorfields Eye Hospital Paediatric helpline: 0207 2533411 ext 4569, Mon- Fri 10:00am-13:00pm then 14:00pm-16:00pm