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Picture of the Month Quiz

Image of a 31-month-old Hispanic boy presented for evaluation of possible retinoblastoma of the right eye

Figure.

A 31-month-old Hispanic boy presented for evaluation of possible retinoblastoma of the right eye. At 22 months of age, strabismus had developed. There was no history of trauma. Three months later, examination showed total retinal detachment with the retina visible immediately posterior to the lens (Figure, A and B). Visual acuity was reduced to light perception in the right eye. With the left eye, he could fix and follow an object normally. He was treated with anterior chamber injections of bevacizumab on a monthly basis for 5 months to resolve the retinal detachment.

Following the injections, visual acuity was unchanged. Intraocular pressure was normal in each eye. The anterior segment of the right eye was filled with refractile yellow crystals (Figure, C and D). Ultrasonography revealed total retinal detachment with a retinal macrocyst. There was no intraocular tumor or calcification.

For a complete discussion read the Picture of the Month—Quiz Case.