The EUA did not disclose any tumor in the left eye. An exenteration of the right orbit was performed, and frozen sections of cutaneous and periosteal margins were sent perioperatively. All frozen section biopsies were negative for tumor. The exenteration was completed without any complications. The entire specimen was sent for pathologic evaluation.
Intraoperative photo shows bony defect of superior temporal orbit.
The exenteration specimen measured 67 x 53 x 19 mm. Grossly it had edematous and erythematous eyelids. A large tumor invaded the connective tissue and muscle, and extended to the superior surgical margin. The tumor was not encapsulated, and it obliterated the lateral fornix. Histopathological examination disclosed an undifferentiated recurrent retinoblastoma.