Delhi Journal of Ophthalmology

Bilateral Retinoblastoma Presenting Atypically with Atrophic Bulbi and Contralateral Buphthalmos

Siddharth Madan, Sarita Beri
Department of Ophthalmology, Lady Hardinge Medical College, University of Delhi, New Delhi, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Siddharth Madan
MS, DNB, FICO
Lady Hardinge Medical College and  Associated Hospitals, University of Delhi,  New Delhi-110001, India
Email id: drsiddharthmadan@gmail.com


Received: 11-JUN-2019 Accepted: 09-JUL-2019 Published Online: 27-FEB-2020
DOI: https://dx.doi.org/10.7869/djo.512

Abstract
Patients with retinoblastoma commonly present with leucocoria (56%) and strabismus (20%). Presentation in the form of phthisis bulbi or atrophic bulbi and buphthalmos in a single patient is unusual and highly suggestive of retinoblastoma and is observed commonly in older children where it delays the diagnosis and management. This case highlights the unusual signs of this malignant tumor in a 2 year old boy who presented with atrophic bulbi in right eye and buphthalmos with scleral metastasis in the left eye. Computed tomography scan demonstrated calcified atrophic right globe with a buphthalmic left eye with intralesional calcification and a scleral metastatic nodule. The patient was planned for further investigations to rule out distant metastasis however was lost to follow-up.

Keywords :Bilateral retinoblastoma, Atrophic bulbi, Buphthalmos, Scleral metastasis, Phthisis bulbi, Calcification, Enucleation

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