Retinoblastoma obscured by recent trauma.

Abstract

Failure to elicit an exact history of injury may lead to errors in the management of patients having various ocular complaints. A clear-cut history of ocular trauma, however, may mislead the clinician and result in serious error. This case report illustrates the latter situation. Report of Case A four-year-old Negro boy was struck in the left eye with a bottle. There was no previous history of eye disease. The patient was first examined by an ophthalmologist ten days later. There was evidence of an infection. The lens was cataractous. The right eye was normal. The infection cleared rapidly with local therapy. During subsequent weeks, however, secondary glaucoma occurred, and the eye became blind and painful. It was enucleated three months after the injury. Postoperatively the patient did well for three months, at which time he developed swelling in the left parotid area. It was then discovered that the pathologist's report