If a white pupil is noted, an immediate appointment with your health care provider should be made. Pediatricians routinely screen for the appearance of a white pupil in children. If a child develops a white pupil or cloudy cornea, immediate attention is required, preferably from an ophthalmologist.

• you note any discoloration of the pupil or cornea of the eye.

The medical history will be obtained and a physical examination performed.

Medical history questions documenting white spots in the pupil may include:

• When did you first notice this?
• Are both eyes affected?
• Is there any change in the vision, including a decrease in vision, blurred vision, or others?
• What other symptoms are also present?
• Is there a family history of disease, such as congenital cataracts or retinoblastoma, both of which tend to be hereditary?
• Are the eyes crossing?
• Any recent eye surgery?

The physical examination will include a detailed eye examination.

Diagnostic tests may include:

• slit-lamp exam
• standard eye exam
• visual acuity
• ophthalmoscopy
• other tests depending on the suspected cause, including a head CT or MRI

AFTER SEEING YOUR HEALTH CARE PROVIDER
If a diagnosis was made by your health care provider as the cause of white spots in the pupils, you may want to note that diagnosis in your personal medical record.