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 Table of Contents    
Year : 2018  |  Volume : 11  |  Issue : 3  |  Page : 303  

Child presenting with ocular ecchymosis

1 Chandigarh Laser Eye Center, Faridabad, Haryana, India
2 Department of Ophthalmology, Sarvodaya Hospital and Research Center, Faridabad, Haryana, India

Date of Web Publication29-Oct-2018

Correspondence Address:
Dr. Sweta Singh
Chandigarh Laser Eye Center, Faridabad, Haryana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ojo.OJO_181_2018

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How to cite this article:
Singh S, Kumar J, Abhishek A. Child presenting with ocular ecchymosis. Oman J Ophthalmol 2018;11:303

How to cite this URL:
Singh S, Kumar J, Abhishek A. Child presenting with ocular ecchymosis. Oman J Ophthalmol [serial online] 2018 [cited 2019 Aug 22];11:303. Available from: http://www.ojoonline.org/text.asp?2018/11/3/303/244313

A 10-month-old male child presented in our pediatric ophthalmology clinic with “raccoon eyes,” subconjunctival hemorrhage, proptosis [Figure 1]a, and swelling around both ears [Figure 1]b. The mother informed that the infant had been very irritable for 1 week and had developed this symptom recently which has been rapidly progressive.
Figure 1: (a) Ecchymosis of right eye with subconjunctival hemorrhage and proptosis with swelling in front of right ear. (b) Swelling behind left ear

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   Questions Top

  1. What is the differential diagnosis?
  2. What are the investigations required?

Answers for Clinical Quiz

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient's parents have given their consent for his images and other clinical information to be reported in the journal. The patient's parents understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

   References Top

Belgaumi AF, Kauffman WM, Jenkins JJ, Cordoba J, Bowman LC, Santana VM, et al. Blindness in children with neuroblastoma. Cancer 1997;80:1997-2004.  Back to cited text no. 1
DuBois SG, Kalika Y, Lukens JN, Brodeur GM, Seeger RC, Atkinson JB, et al. Metastatic sites in stage IV and IVS neuroblastoma correlate with age, tumor biology, and survival. J Pediatr Hematol Oncol 1999;21:181-9.  Back to cited text no. 2
Brodeur GM, Seeger RC, Barrett A, Berthold F, Castleberry RP, D'Angio G, et al. International criteria for diagnosis, staging, and response to treatment in patients with neuroblastoma. J Clin Oncol 1988;6:1874-81.  Back to cited text no. 3
Ahmed S, Goel S, Khandwala M, Agrawal A, Chang B, Simmons IG, et al. Neuroblastoma with orbital metastasis: Ophthalmic presentation and role of ophthalmologists. Eye (Lond) 2006;20:466-70.  Back to cited text no. 4


  [Figure 1], [Figure 2]


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