A 4-month-old boy presents to the emergency department with a cloudy appearance in his left eye, noted by mum on day of attendance. The patient is systemically well with no temperature, no recent illness or ocular trauma. He is not dysmorphic and was born in the UK at term. There is no family history of hereditary ophthalmological conditions.

Examination findings are displayed in figures 1 and 2. You note normal pupillary response to light and full range of eye movements without distress. Red reflexes are present.

Infant with left eye deformity.

Obvious tearing noted from left eye.

What signs are present in figures 1 and 2?

Leucocoria and buphthalmos

Buphthalmos and epiphora

Epiphora and hyphema

Blepharospasm and ectropion

What is the most likely …