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Bilateral Exotropia. (a) Image of the child depicting a 30° exotropia in the left eye while fixating with the right eye in primary gaze. (b) Image of the child showing a 30° exotropia with minimal 5° hypertropia of the right eye while fixating with the left eye in primary gaze suggestive of an alternate exotropia with right eye dissociated vertical deviation Contributed by Dr. Kirandeep Kaur, MBBS, DNB, FPOS, FICO, MRCS Ed, MNAMS

Bilateral Exotropia. (a) Image of the child depicting a 30° exotropia in the left eye while fixating with the right eye in primary gaze. (b) Image of the child showing a 30° exotropia with minimal 5° hypertropia of the right eye while fixating with the left eye in primary gaze suggestive of an alternate exotropia with right eye dissociated vertical deviation Contributed by Dr. Kirandeep Kaur, MBBS, DNB, FPOS, FICO, MRCS Ed, MNAMS

Figure 1 : Fundus photo of right eye ( Figure 1, A ) and left eye ( Figure 2, B ) of a 15 month old male child showing whitish creamy retinal vessels suggestive of lipemia retinalis. The child was born at 32 weeks and had a birth weight of 1100 grams. The child was referred by the paediatrician for screening of retinopathy of prematurity. However, the parents delayed the presentation of the child to the ophthalmologist. The parents were counselled in the ophthalmology clinic about the need of laboratory evaluation of lipid profile and the child was referred back to the paediatrician. Contributed by Dr. Chitaranjan Mishra, DNB, FICO, MRCS Ed ( Ophthal ), Aravind Eye Hospital, Madurai, Tamil Nadu, India, 625020.

Pediatric Right Eye Cataract. Digital image of the 1-year-old child depicting cataractous lens in the right eye. Contributed by Dr. Kirandeep Kaur, MBBS, DNB, FPOS, FICO, MRCS Ed, MNAMS