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PLAB01-055

Charlie is 8 weeks old and is brought in by his mother Sarah to the 8 week baby check at the GP surgery. She informs you that her pregnancy went well and since birth, Charlie has been well, he is exclusively breast-fed and is gaining weight along the 50th centile.

You are happy with all your examination findings except you notice the red reflex is present in the right eye, but is difficult to view in the left. On closer inspection, you note that the left pupil is grey in colour. Sarah thinks his eye has always looked like that and is not worried about it.

What is the most appropriate next step?

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