A 7-YEAR-OLD boy developed redness and decreased vision in the left eye during a 4-week period. Findings from an ophthalmic examination conducted elsewhere revealed signs consistent with atypical uveitis or endophthalmitis, and vitrectomy was planned. A second opinion was obtained from our service. There was no family history of retinoblastoma.
His visual acuity was 6/6 OD and 6/7.5 OS, and intraocular pressures were within reference ranges. Pertinent findings were limited to the left eye, which showed diffuse mild conjunctival hyperemia. The anterior chamber contained moderate cells with 1 mm of white material in the inferior part of the anterior chamber (Figure 1). White deposits were present on the corneal endothelium, iris surface, and anterior vitreous.
Materin MA, Shields CL, Shields JA, Eagle RC. Diffuse Infiltrating Retinoblastoma Simulating Uveitis in a 7-Year-Old Boy. Arch Ophthalmol. 2000;118(3):442. doi:10.1001/archopht.118.3.442