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Updated: Aug 6, 2026

Establishment and Propagation of Human Retinoblastoma Tumors in Immune Deficient Mice
Published on: August 4, 2011
Retinoblastoma presenting as congenital glaucoma
Reem AlShimali1, Rawan AlShemali1,2,3, Aseel AlKandari1,2,3,4
1Ministry of Health, Shuwaikh, Kuwait City, Kuwait.
Insights
Congenital glaucoma symptoms in an infant girl were initially misdiagnosed, but further examination revealed a Group E retinoblastoma. The infant underwent enucleation, and remains well at follow-up.
Area of Science:
- Ophthalmology
- Pediatric Oncology
- Medical Imaging
Background:
- Congenital glaucoma can present with globe enlargement and corneal edema.
- Retinoblastoma, a pediatric eye cancer, requires prompt diagnosis and treatment.
- Differentiating these conditions is crucial for appropriate management.
Purpose of the Study:
- To report a case of congenital glaucoma initially misdiagnosed as retinoblastoma.
- To highlight the diagnostic challenges and imaging findings in a complex pediatric eye case.
- To emphasize the importance of a multidisciplinary approach in managing suspected retinoblastoma.
Main Methods:
- Clinical examination under anesthesia.
- B-scan ultrasonography.
- Magnetic Resonance Imaging (MRI).
- International Intraocular Retinoblastoma Classification (IIRC).
Main Results:
- Infant presented with asymmetrical globe enlargement, epiphora, corneal edema, and elevated intraocular pressure.
- Examination revealed iris neovascularization and a retrolental vascularized mass.
- B-scan and MRI confirmed an intraocular mass consistent with Group E retinoblastoma.
- Patient underwent enucleation and prosthesis fitting.
Conclusions:
- Early diagnosis and management are critical for retinoblastoma.
- Advanced imaging techniques are essential for accurate diagnosis.
- Multidisciplinary care improves outcomes for pediatric eye cancers.
Abstract:
An infant girl was referred to our paediatric ophthalmology service as a case of congenital glaucoma not responding to topical medication, presenting with asymmetrical globe enlargement, epiphora, corneal oedema and right eye elevated intraocular pressure of 29 mm Hg. Examination under anaesthesia of the right eye revealed iris neovascularisation, corneal oedema and a retrolental vascularised dome-shaped mass. Examination of the left eye was normal. B-scan ultrasonography demonstrated a bi-lobulated retinal lesion with calcifications extending into the anterior hyaloid to the lens. Since the findings were highly suggestive of retinoblastoma, urgent MRI was arranged which demonstrated a right globe intraocular mass with no optic nerve or intracranial extension. The tumour was classified as Group E retinoblastoma, based on the International Intraocular Retinoblastoma Classification (IIRC) classification system. She underwent right eye enucleation and was fitted with a prosthesis. At nearly 1 year of follow-up, the patient remains clinically well and undergoes regular follow-ups with our retinoblastoma service.
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