Bharat R Agarwal
Retinoblastoma - Presentation
The most common presentation is leucocoria (white eye or cat's eye reflex). Other manifestations include poor visual acuity, squint, painful inflamed eye, proptosis and retinal detachment.

Retinoblastoma can be diagnosed clinically by examining the retina. It looks like a whitish mass arising from retina with calcifications which can be verified by B scan ultrasonography. There may be associated fluid, retinal detachment and vitreous seeds.
Atypical presentations, or " masquerades " include acute uveitis and hypopyon , secondary glaucoma( increased eye pressure) , chronic inflammation and endophthalmitis with apparently no etiology and painful proptosis resembling orbital cellulitis. High index of suspicion and repeated examinations are vital to diagnose such cases.

Retinoblastoma Retinoblastoma 01/03/2001
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