Nisha Jha1, Bhavna Govindaraj2, Jayashree Dora3, Kanhei Charan Tudu4, Deepak Choudhury5
Retinoblastoma is the commonest intraocular tumour of childhood. Majority of cases are diagnosed before 5 years of age, with late presentation being a rarity.
An 11-year-old boy presented to our OPD with diminution of vision and white pupillary reflex in the left eye since 1 month. Right eye was normal. Fundus examination of left eye revealed a mass in the inferior quadrant with vitreous haemorrhage. B-scan and MRI were suggestive of retinoblastoma and showed no signs of optic nerve involvement. Subsequently, the patient underwent enucleation of left eye. Primary orbital implant was given. Diagnosis was confirmed histopathologically.
Late presentation of retinoblastoma though uncommon can cause acute visual impairment. Retinoblastoma should be considered in the differential diagnosis of leukocoria in any age group.