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JAMA Ophthalmology Clinical Challenge
January 10, 2019

Atypical Fundus Mass in a Child

Author Affiliations
  • 1Ocular Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania
  • 2Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota
JAMA Ophthalmol. Published online January 10, 2019. doi:10.1001/jamaophthalmol.2018.5443

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.