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Short Subjects
Systemic Metastasis Following Hyphema Drainage in an
Unsuspected Retinoblastoma

Journal of Pediatric Ophthalmology and Strabismus
Vol. 44   No. 2   March/April
2007

Ramesh Murthy, FRCS; Santosh G. Honavar, MD, FACS;
Geeta K. Vemuganti, MD; Milind N. Naik, MD and Vijayanand P.
Reddy, MD

ABSTRACT

A 6-year-old girl had total hyphema and elevated left
intraocular pressure following trivial trauma. B-scan with vector
A-scan revealed vitreous opacities consistent with hemorrhage. The
drained hyphema did not recur. A left vascular conjunctival mass
and massive cervical lymphadenopathy occurred 7 months later.
Biopsy revealed extraocular retinoblastoma and lymph node
metastasis. Computed tomography showed an intraocular mass with
intracranial extension. She died of metastatic disease despite
intensive chemotherapy. Retinoblastoma should be suspected in a
child with hyphema following trivial trauma.

J Pediatr Ophthalmol Strabismus
2007;44:120-123.

AUTHORS

Drs. Murthy, Honavar, Naik, and Reddy are from the Ocular
Oncology Service and Dr. Vemuganti is from the Ocular Pathology
Service, LV Prasad Eye Institute, Hyderabad, India.

Originally submitted January 21, 2005.

Accepted for publication January 12, 2006.

Address correspondence to Santosh G. Honavar, MD, FACS, Ocular
Oncology Service, LV Prasad Eye Institute, LV Prasad Marg, Banjara
Hills, Hyderabad 500 034, India.

Presented at the XI International Congress of Ocular Oncology;
January 2004; Hyderabad, India.