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What type of disease or condition presents with an absent red reflex?

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Final answer:

An absent red reflex in an eye examination may indicate serious conditions like retinoblastoma or cataracts, or less serious issues like a foreign body or refractive error.

Step-by-step explanation:

An absent red reflex typically indicates the presence of an ocular condition. The red reflex is a response caused by the reflection of light off the fundus (the interior surface of the eye, opposite the lens) that can be observed during an eye examination. A healthy eye will show a reddish-orange reflection; the absence of this reflection can suggest several conditions.

One of the most serious is a retinoblastoma, which is a malignant tumor of the retina that occurs in children. Other possibilities include cataracts, where the lens becomes opaque, or a vitreous hemorrhage, where bleeding occurs inside the eye. Less serious conditions might be the presence of a large foreign body or extreme refractive error causing a lack of proper reflection.

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