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

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

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Bilateral retinoblastoma

Photo by Professor Chua Chung Nen

This 12 month-old girls was referred because of visual inattention and leukocria. There was no family history of retinoblastoma. Fundoscopy revealed extensive white masses and CT scan showed bilateral intraocular calcification suggestive of retinoblastoma. Right enucleation was performed and cryotherapy was applied to the left eye in an attempt to save the remaining eye. Unfortunately, the left eye failed to respond to cryotherapy and the eye had to be removed to save the patient's life. Histology confirmed retinoblastoma with optic nerve involvement. The patient underwent chemotherapy and radiotherapy.

 

Bilateral leukocoria.

 

 Bilateral intraocular calcification on CT scanning.

 

 

Right enucleated globe.

 

Post bilateral enucleation and radiotherapy.

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