Question 161

You are seeing a 7 month old male with bilateral, horizontal nystagmus. This is his first visit with an ophthalmologist. The nystagmus has been noted since shortly after birth. No work up has been done in the past. Which other finding on your examination today in clinic would eliminate the need for an MRI of the brain in this child?

Bilateral optic nerve hypoplasia

Accommodative esotropia

Multiple peripheral retinal hemangioblastomas

Light colored irides with diffuse transillumination defects

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