Paediatric Ophthalmology: Case nineteen

This is the fundal appearance of a eleven month-old boy who was admitted by the paediatrician for drowsiness and irritability. He had no previous medical history of note and the blood tests were normal.

a. What is the most likely diagnosis?

b. Which investigation should be requested?

c. What is the differential diagnosis?

d. What other physical signs may be present?

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