Retinoblastoma is an ocular malignancy that can put a patient's sight and, in some instances, life at risk. Here we report the case of a 2-year-old child who presented to her pediatrician with a 2-week history of left-sided leukocoria caused by retinoblastoma. Results of traditional office-based vision screening and automated vision screening, which often identify but are not specifically designed to detect rare diseases such as retinoblastoma, had been normal in the antecedent 7 months. She underwent enucleation of the left eye and has done well postoperatively. This case highlights the importance of assessing ocular media clarity by using red-reflex testing at multiple intervals during the preschool years, particularly in light of the recently published US Preventive Services Task Force guidelines for preschool vision screening, which gave an “insufficient evidence” level for vision screening in children younger than 3 years and failed to address red-reflex examination.
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November 2011
Case Reports|
November 01 2011
Retinoblastoma in a Child After Normal Autorefraction and Traditional Vision Screening
Christopher B. Estopinal, BSc;
Christopher B. Estopinal, BSc
aVanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee; and
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Sean P. Donahue, MD, PhD;
aVanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee; and
Address correspondence to Sean P. Donahue, MD, PhD, Vanderbilt Eye Institute, 2311 Pierce Ave, Nashville, TN 37232-8808. E-mail: sean.donahue@vanderbilt.edu
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Gary N. Gitschlag, MD
Gary N. Gitschlag, MD
bKnoxville Pediatric Eye Care, Knoxville, Tennessee
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Address correspondence to Sean P. Donahue, MD, PhD, Vanderbilt Eye Institute, 2311 Pierce Ave, Nashville, TN 37232-8808. E-mail: sean.donahue@vanderbilt.edu
FINANCIAL DISCLOSURE: Dr Donahue has acted as a consultant for Welch-Allyn, Inc (Skaneateles Falls, NY), Plus-Optix (Hillsboro Beach, FL), Pediavision (Lake Mary, FL), Pediatric Vision Screener (Boston, MA), and Diopsys, Inc (Pine Brook, NJ), all of which produce vision screening devices; Mr Estopinal and Dr Gitschlag have indicated they have no financial relationships relevant to this article to disclose.
Pediatrics (2011) 128 (5): e1285–e1288.
Article history
Accepted:
June 24 2011
Citation
Christopher B. Estopinal, Sean P. Donahue, Gary N. Gitschlag; Retinoblastoma in a Child After Normal Autorefraction and Traditional Vision Screening. Pediatrics November 2011; 128 (5): e1285–e1288. 10.1542/peds.2011-0325
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