Diffuse Infiltrating Retinoblastoma in a Posttraumatic Contusion Eyeball in a 7-year-old Filipino Male: A Case Report

Authors

  • Aramis B. Torrefranca, Jr., MD Department of Ophthalmology, Governor Celestino Gallares Memorial Medical Center, Tagbilaran City, Bohol, Philippines; Bohol Eye and Ear Center, Ramiro Community Hospital, Tagbilaran City, Bohol, Philippines https://orcid.org/0000-0003-1569-5012
  • Angel Antonette L. Devocion, MD Department of Ophthalmology, Governor Celestino Gallares Memorial Medical Center, Tagbilaran City, Bohol, Philippines
  • Mary Caroline E. Magboo Department of Ophthalmology, Governor Celestino Gallares Memorial Medical Center, Tagbilaran City, Bohol, Philippines
  • Allan Joseph D. Limbago, MD Department of Radiology, Governor Celestino Gallares Memorial Medical Center, Tagbilaran City, Bohol, Philippines
  • Mariel B. Abaquita, MD Department of Pathology, Governor Celestino Gallares Memorial Medical Center, Tagbilaran City, Bohol, Philippines

DOI:

https://doi.org/10.47895/

Keywords:

diffuse infiltrating retinoblastoma, retinoblastoma, Philippines, case report

Abstract

Diffuse infiltrating retinoblastoma is an extremely rare form of retinoblastoma which is characterized by its atypical growth pattern. This unusual presentation adds complexity to the diagnostic process. The purpose of this paper is to report a rare presentation of diffuse infiltrating retinoblastoma presenting after an ocular trauma.

We described a 7-year-old Filipino boy presenting with total hyphema following an ocular trauma. Comprehensive ophthalmologic clinical and diagnostic evaluations were performed including visual acuity, slitlamp biomicroscopy, ocular ultrasound, neuroimaging, and histopathology post enucleation to determine diagnosis. 

The misleading, atypical presentation of diffuse infiltrating retinoblastoma may delay diagnosis. While this dilemma is expected in these scenarios, it should be remembered that timing of diagnosis in retinoblastoma is crucial, as this also equates to optimal management. One should remain vigilant for these uncommon presentations especially in the setting of any intraocular inflammation in children.

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Published

2025-08-30

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Articles

How to Cite

1.
Diffuse Infiltrating Retinoblastoma in a Posttraumatic Contusion Eyeball in a 7-year-old Filipino Male: A Case Report. Acta Med Philipp [Internet]. 2025 Aug. 30 [cited 2025 Sep. 3];. Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/12652