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October 1966

Unsuspected Retinoblastoma: Enucleation in an 11-Year-Old Girl Following Injury and Panophthalmitis

Author Affiliations

Washington, DC
From the Registry of Ophthalmic Pathology, Armed Forces Institute of Pathology, Washington, DC. Special Fellow in Ophthalmic Pathology, AFIP (Dr. Spaulding). Fellow in Ophthalmic Pathology at the AFIP, on leave from the University Eye Hospital, Hamburg, Germany (Dr. Naumann).

Arch Ophthalmol. 1966;76(4):575-577. doi:10.1001/archopht.1966.03850010577016

In a series of 1,000 eyes enucleated from children under the age of 15 years, 50% of the eyes were removed because of trauma and 20% because of a neoplastic process. Only 1% of all these specimens contained a totally unsuspected tumor.1

The most common ocular tumor of childhood is retinoblastoma, but it is rarely seen after the first decade. Among Wintersteiner's 400 cases,2 only ten patients were older than 9 years of age, and Reese3 reported his oldest patient as being 11 years of age.

Ocular injury followed by panophthalmitis is a rare cause for enucleation of an eye that contains a retinoblastoma, especially in an 11-year-old child.

Report of a Case 

Clinical History.  —An 11-year-old Negro girl was seen because of pain and swelling in the right eye. There was a history of recent "insect" injury to this eye. Examination revealed a large but soft

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