RT Book, Section
A1 Sleiman, Abdul-Karim
A1 Singh, Arun
A1 Traboulsi, Elias I.
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114869672
T1 Retinoblastoma and the Differential Diagnosis of Leukocoria
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114869672
RD 2024/04/19
AB A  14-month-old  boy  was  referred  by  his  pediatrician  because  a  whitish  reflex  from  his  left  pupil  (Figure  16-1)  was  noticed  by  his  parents  in  certain  directions  of  gaze.  It  was  also  noted  on  a  few  recent  photographs.  His  pediatrician  had  checked  the  pupillary  light  reflex  and  indeed  noted  a  dimmer  and  tan-colored  reflex  from  the  left  pupil  as  opposed  to  a  brighter  and  more  reddish  reflex  in  the  left  eye.  She  referred  the  child  for  further  evaluation  and  management.  Dilated  fundus  examination  revealed  a  single  large  tumor  in  the  left  eye,  occupying  more  than  50  percent  of  the  globe.  Ultrasonography  showed  a  pattern  consistent  with  calcifications  within  the  tumor,  and  suggestive  of  retinoblastoma.  A  magnetic  resonance  imaging  (MRI)  scan  showed  no  evidence  of  optic  nerve  or  intracranial  involvement.  There  were  no  other  tumors  in  either  eye.  There  was  no  family  history  of  retinoblastoma.  A  decision  was  made  to  enucleate  the  eye  because  of  the  size  of  the  tumor.