Retinoblastoma seen after surgery for traumatic cataract

A case is presented of traumatic cataract which was aspirated to reveal a retrolenticular mass. Enucleation of the eye showed this was a retinoblastoma whose cells were adjacent to the gaping surgical wound. I emphasize the facts that trauma and its sequelae do not preclude existence of previous serious lesions and that invasive surgical therapy in cases of intraocular neoplasm may lead to their extraocular spread. Diagnostic ultrasound examination of eyes with opaque media may be of great value in preventing such cases.