Title : Tiny eyes , big battles - Rare case of 4-months old
Abstract:
Retinoblastoma is the most common ocular malignancy of childhood. Although retinoblastoma primarily affects younger children, it is very rare below 1 year of age. A 4-months-old girl child presented with leukocoria in her right eye since 2 months. Posterior segment examination revealed retinal detachment and abnormal, tortuous retinal vessels along with vitreous seedings in right eye. B-mode ultrasound showed Right eye having well defined solid endophytic mass present on posterior pole, with few foci of calcification. Due to poor visual prognosis and high clinical suspicion of malignancy (retinoblastoma), enucleation was performed under general anaesthesia. The enucleated eyeball was sent for histopathological analysis which confirmed the diagnosis of retinoblastoma without optic nerve involvement. High index of suspicion of retinoblastoma in an infant having leukocoria and timely management of the condition by enucleation has saved the child. Prosthesis was implanted for the stimulation of development of orbit in the child. This case is a unique case as retinoblastoma at the age of 4-months is a very rare condition. Hence we wish to report this case due to it’s rare presentation and to create awareness about the presence of retinoblastoma in infancy.
