Abstract

Introduction: Cancer pathology in children is rare with about 1,700 cases diagnosed in France per year. Although more than 80% of patients are now survivors at 5 years of age, cancers remain the leading cause of fatal illness between the ages of 1 and 15, making its diagnosis difficult at times unknown to the atypia of reported symptoms and even more masked by the notion of eye trauma.

Patients and Methods: We present the observation of four children with malignant pathology revealed by oculo-orbital manifestations. The first 12-year-old male child looking for a decrease in visual acuity of the right eye discovered incidentally during a contusive trauma of the left eye revealing a craniopharyngioma. The second 4-year-old female child admitted to the right painful red eye emergency room with trauma 20 days ago and a hyphmytotal revealing retinoblastoma. The third 5-year-old female child admitted to the emergency room for the onset of rapidly progressive left palpebral swelling in a traumatic context for a month revealing T-phenoma lymphoblastic lymphoma. the fourth patient is 3-year-old male referred for intravitreal hemorrhage of the left eye following trauma, revealing a retinoblastoma.

Discussion: The child's clinical examination must be complete bilateral and symmetrical, faced with the notion of trauma that is sometimes repetitive in cases of persistence or aggravation or even in the face of a simple doubt about the atypical nature of the eye injuries found in relation to the benign nature of the trauma, the ophthalmologist must remain vigilant and suspect an underlying pathology in the face of the slightest suspicion of cancer in order to carry out a clinical and paraclinical diagnostic approach confirming or affirming the diagnosis and sent the child for a multidisciplinary specialized paediatric cancer unit.

Keywords: Orbital Trauma; Ophthalmology; Cancer

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Citation

Citation: N Mataa., et al. “When Orbital Trauma Hides a Malignant Tumour in Children”. Acta Scientific Ophthalmology 4.4 (2021): 73-78.

Copyright

Copyright: © 2021 N Mataa., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.