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Atypical Retinoblastoma Presentations: A Challenge for the Treating Ophthalmologist
Arch Ophthalmol. 2002;120:1222-1225.
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INTRODUCTION
An intraocular procedure in a child with retinoblastoma represents one
of the few situations in which an ophthalmologist can produce a disease that
may be fatal to the patient. It is always important to consider retinoblastoma,
even in children who are atypical in age or appearance for this disease.
Report of Cases
Case 1
A 19-month-old boy with a medical history of malrotation of the intestines
who had recently undergone their surgical repair, was referred for evaluation
of leukocoria in his right eye. His ocular history was significant for strabismus
at 6 months of age that was attributed to prominent epicanthal folds. At approximately
19 months of age, his right eye clearly deviated, and he was referred to a
pediatric ophthalmologist who subsequently referred the patient to the ocular
oncology unit at the University of California, San Francisco (UCSF).
On examination at UCSF, the patient demonstrated visual fixation that
was not central and not steady . . . [Full Text of this Article] Case 2 Case 3
Comment
Corresponding author: Joan M. O'Brien, MD, Ocular Oncology Division,
Department of Ophthalmology, University of California San Francisco, 10 Koret
Way, Room K-301, Box 0730, San Francisco, CA 94143-0730 (e-mail: aleja@itsa.ucsf.edu).
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