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July 1957

The Differential Diagnosis of RetinoblastomaRALPH W. DANIELSON, M.D., Denver

AMA Arch Ophthalmol. 1957;58(1):15-18. doi:10.1001/archopht.1957.00940010027002

I. Introduction  There is no place in ophthalmology where thoroughness is more essential than in the examination of a suspected retinoblastoma, whether it has been discovered in the early stage or after leukokoria has become evident. Completeness of the examination is advisable because the greater extent of the procedures will (1) make a correct diagnosis more likely, (2) increase the confidence of the parents during the catastrophic ordeal, and (3) protect the physician in case he is charged with removing an eye unnecessarily. The last feature is becoming increasingly more important in view of the recent frequency of professional liability suits and the entirely unreasonable size of the awards. A case of this sort would be tailor-made for working on the sympathy of a jury.This paper, therefore, will stress the modes of examination as much as the differential diagnosis. It is designed to help those of us who see

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