This patient was treated as a child for retinoblastoma, although unfortunately we don’t know the details of her prior treatment.
She has a calcified, elevated peripapillary lesion with overlying vitreous seeds. There is also a scar in the inferonasal midperiphery from another destroyed tumor. The multifocal nature of her tumors indicates that this was a genetic mutation, and that she likely has the retinoblastoma gene.
Learning Points:
Small tumors can be treated with focal treatments such as thermal laser, cryotherapy or radioactive plaque therapy. Larger tumors are treated with chemotherapy (most commonly intra-arterial through the ophthalmic artery and occasionally systemic). Chemotherapy has dramatically decreased the need for enucleation.
