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May 1963

Retinoblastoma Obscured by Recent Trauma

Author Affiliations

Washington, D.C.
Former Fellow in Ophthalmic Pathology, National Institute of Neurological Diseases and Blindness, United States Public Health Service, at the Armed Forces Institute of Pathology; present Chief Resident, Wilmer Ophthalmological Institute, Johns Hopkins University, Baltimore.; From the Registry of Ophthalmic Pathology, Armed Forces Institute of Pathology.

Arch Ophthalmol. 1963;69(5):583-584. doi:10.1001/archopht.1963.00960040589010

Failure to elicit an exact history of injury may lead to errors in the management of patients having various ocular complaints. A clear-cut history of ocular trauma, however, may mislead the clinician and result in serious error. This case report illustrates the latter situation.

Report of Case  A four-year-old Negro boy was struck in the left eye with a bottle. There was no previous history of eye disease. The patient was first examined by an ophthalmologist ten days later. There was evidence of an infection. The lens was cataractous. The right eye was normal. The infection cleared rapidly with local therapy. During subsequent weeks, however, secondary glaucoma occurred, and the eye became blind and painful. It was enucleated three months after the injury. Postoperatively the patient did well for three months, at which time he developed swelling in the left parotid area. It was then discovered that the pathologist's report

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