Case Study 174 Endophytic Retinoblastoma
AA is a 2-year-old child who was noted by his mother to have a strange reflex from his right eye. She took him to her pediatrician who could not get a red reflex from that eye and referred him to a pediatric ophthalmologist. An examination under anesthesia was scheduled for the next day, and arrangements were made for an ultrasound unit to be available in the operating room. Fundus exam revealed a large pale white mass which obscured retinal vessels. Echography showed a noncalcified mass partially filling the globe felt to be consistent with an endophytic retinoblastoma, but Coat’s disease could not be ruled out (Fig. 1).