The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Retinoblastoma with intracerebral extension

Photo by Dr. Mahadhir Alhady

This boy presented with a rapidly expanding left proptosis. Biopsy revealed this to be a retinoblastoma and the CT scan showed intracerebral extension. Despite the prognosis, the tumour responded well to chemotherapy. More details about this case can be found in case 21 at Case of the Week.

 

Left proptosis.

 

Left proptosis with chemosis and bloody discharge.

 

Left retinoblastoma occupying the whole orbit with proptosis.

 

Intracerebral extension.

 

Post chemotherapy. The left proptosis shrank rapidly without enucleation.

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