In a standard vision assessment, which finding would require further investigation?

A white reflex in one eye, also known as leukocoria, is a concerning finding during a vision assessment. It indicates the potential presence of serious underlying conditions such as retinoblastoma, cataracts, or other abnormalities in the eye that require prompt investigation. This abnormality suggests that light is not being properly transmitted through the eye, often leading to visual impairment or the indication of a more serious condition that needs further evaluation by an ophthalmologist.

In contrast, a normal red reflex indicates proper function of the retina and is typically seen in healthy eyes. Having a red reflex in both eyes is also a reassuring sign, confirming that both eyes are functioning normally. A clear ocular examination suggests that there are no visible abnormalities upon inspection, further supporting that there are no immediate concerns. Thus, while the other findings might indicate normal ocular health, the presence of a white reflex is a significant red flag that demands further investigation to ensure the patient's eye health and visual function.