Retinoblastoma in a 30-Year-Old Man

Rungroj Lerdvitayasakul, M.D.*
Skowrat Kunavisarut, M.D.*
Mana Rochanawutanon, M.D.**
* Department of Ophthalmology,
** Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand

Excerpt of the article

Retinoblastoma is one of the common malignant tumor in childhood. It is most common before the age of three, and the diagnosis usually is at the aver age age of 18 months, Initial diagnosis of retino blasma in adult is extremely rare, although seyeral cases have been reported in other countries. This case report is of a 30-year-old man whose enucleated eye was found to contain a retinoblastoma in Ramathibodi Hospi tal, Thailand.

CASE REPORT

A 30-year-old man came to the Department of Ophthalmology, Ramathibodi Hospital with the chief complaint of painful blind eye OD for one week. He was examined eight years ago with complaint of blurred vision in other hospital and was told that the right eye was untreatable. Five years later, the patient came to that hospital again, at that time he was suggested for enucleation, The patient refused and loss follow up. Since then the patient experienced mild ocular pain off and on and severe pain for one week. There was no family history of ocular tumor.  

Ocular examination revealed that visual acuity with best correction was no light perception OD and 5/200 OS. Intraocular pressures OD could not be measured, OS was 11 mmHg. Examination of the right eye was found to have a normal size with mixed injection of conjunctiva, comeal edema and anterior dislocation of mature cataract into the anterior chamber. The fundus could not be seen. No exophthalmos was found. Extemal examination of the left eye was normal but choroidal coloboma with macular region involvement of fundus was seen.

Thai J Ophthalmol 1989; 3(2): 91-93