Late Onset Retinoblastoma Presenting with Vitreous Haemorrhage
Mette Bagger*, 1 , Jan Ulrik Prause 2, Steffen Heegaard1 , 2, 3, Steen Fiil Urbak 4, Torsten Degn 5, Jens Folke Kiilgaard 1 , 3
Identifiers and Pagination:Year: 2012
First Page: 23
Last Page: 25
Publisher ID: TOOPHTJ-6-23
Article History:Received Date: 21/2/2012
Revision Received Date: 12/4/2012
Acceptance Date: 16/4/2012
Electronic publication date: 3/5/2012
Collection year: 2012
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
Our work describes the management of young patients who presents with vitreous haemorrhage. It is important to note that the causes differ significantly from adults with vitreous haemorrhage.
A 16-year old patient presented with vitreous haemorrhage. B-scan ultrasonography showed hypodense elements in the retina. A vascularized gelatinous mass was revealed after vitrectomy. Later the patient developed white cysts in the anterior chamber and histological findings were indicative of a retinoblastoma. The patient was enucleated and the diagnosis of retinoblastoma was confirmed. Intraocular surgery in young people with unknown retinoblastoma enhances the risk of metastasis development, orbital recurrence and death. Unexplained vitreous haemorrhage can obscure the view of a tumour but ultrasonic findings of a retinal mass calls for further imaging e.g. through MRI. The case illustrates the importance of excluding intraocular malignancy and advises a limited use of surgery in the initial examination of vitreous haemorrhage in young people.