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Case Report
Retinoblastoma in an 8-year-old boy: A rare case report
1 Department of Ophthalmology, King Fahad Hospital of the University, Al Khobar, Saudi Arabia
2 Department of Ophthalmology, Dhahran Eye Specialist Hospital, Dhahran, Saudi Arabia
3 College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
4 College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia
Address correspondence to:
Nawaf AlJaafar
AlRakkah, AlKhobar 34225,
Saudi Arabia
Message to Corresponding Author
Article ID: 100054Z17RA2026
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AlAkel R, AlJaafar N, AlShaibani A, AlNfaiei J, AlKhalifa F, Emara K. Retinoblastoma in an 8-year-old boy: A rare case report. J Case Rep Images Opthalmol 2026;9(2):1–5.ABSTRACT
Retinoblastoma is a rare intraocular malignant tumor, most commonly seen in children under five years of age. We report a rare case of retinoblastoma in an 8-year-old boy who experienced right eye pain and blurring of vision for one month. The right eye visual acuity was 20/38. Slit-lamp examination revealed conjunctival injection, with floating nodules at the periphery of the anterior chamber and pseudohypopyon. The remainder of the examination was otherwise unremarkable. B-scan of the affected eye showed dense vitreous opacity and an inferonasal retinal mass with underlying exudative retinal detachment. An exploratory Pars Plana Vitrectomy (PPV) with vitreous sampling was performed to rule out intraocular lymphoma, and histopathological assessment revealed malignant cells, confirming the diagnosis of retinoblastoma. The patient subsequently underwent immediate enucleation after obtaining informed consent from his family. Following enucleation, the patient is doing well with a prosthetic eye. To the best of our knowledge, this is the first reported case of an atypical presentation of retinoblastoma in the Saudi population.
Keywords: Children, Late onset, Leukocoria, Retinoblastoma
SUPPORTING INFORMATION
Acknowledgments
We would like to extend our gratitude to the Dhahran Eye Specialist Hospital, Dhahran, Saudi Arabia, for the macular optical coherence tomography and the ultrasound biometry.
Author ContributionsRaghad AlAkel - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Nawaf AlJaafar - Interpretation of data, Drafting the article, Final approval of the version to be published
Askar AlShaibani - Revising it critically for important intellectual content, Final approval of the version to be published
Judi AlNfaiei - Acquisition of data, Drafting the article, Final approval of the version to be published
Fatemah AlKhalifa - Analysis of data, Drafting the article, Final approval of the version to be published
Khalid Emara - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2026 Raghad AlAkel et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
