A 2-year-old white boy was referred for evaluation of a choroidal mass. He had mild periorbital edema and low-grade eye pain in the left eye over 2 weeks prior to presentation. He had completed antibiotic treatment for presumed sinusitis with no improvement. A recent flulike illness over the past 1.5 weeks responded minimally to ibuprofen. Medical and family history were otherwise unremarkable. Magnetic resonance imaging of the orbits revealed an intraocular mass, suspicious for retinoblastoma. The patient was advised consultation by an ocular oncology service.
Li L, Dalvin LA, Shields CL. Atypical Fundus Mass in a Child. JAMA Ophthalmol. Published online January 10, 2019. doi:10.1001/jamaophthalmol.2018.5443
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