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A devastating form of amblyopia is "deprivational" amblyopia due to dense congenital cataracts. AAP recommends that all newborns have a red reflex test to rule out opacities between the cornea and the retina. Any infant with large eyes, excess tearing and cloudy corneas might have another blinding condition called Congenital Glaucoma. An infant with consistently white pupils might have a retinoblastoma tumor.

Red Reflex testing is performed with a direct ophthalmoscope in a dim room. If the baby's lids don't open sufficiently, then an Alfonso lid speculum can be used by the pediatrician to assure a normal red reflex screening.

Red Reflex testing in infants resembles the Enhanced Bruckner Test.

Congenital cataract causing amblyopia left eye

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