LAUSR

We read with interest the article, “Adult onset retinoblastoma: A diagnostic dilemma” by Raj et al. where they have presented a case of a previously undiagnosed retinoblastoma (RB) which was eviscerated and subsequently treated. Adult-onset RB is indeed rare and is most often misdiagnosed. We thank the authors for presenting this rare clinical scenario. While most previously reported cases have been about ocular surgery in previously undiagnosed intraocular RBs, Raj et al. have reported a case where intraocular surgery was performed in an eye with previously undiagnosed orbital RB. As is noticeable from Figure 1 of their report, in addition to the perforated cornea, the conjunctival bulging noted superiorly and superotemporally are suggestive of extraocular extension. However, hindsight is always 20/20, and the authors, upon diagnosing RB, have meticulously conducted a metastatic workup and treated the disease with surgery, chemotherapy, and radiotherapy. In this communication, we wish to put forth three important issues that are relevant to the case in point here: