Figure 4.

Sterile orbital inflammation. A 3-year-old child presenting with pain, redness and swelling in the left eye of 4-day duration in the background history of leukocoria for 6 months. Note mild proptosis, intense conjunctival congestion, corneal haze and dirty yellow papillary reflex indicating necrotic intraocular retinoblastoma with sterile orbital inflammation (a). Computed tomography scan shows calcified intraocular tumor in the left eye with diffuse soft tissue thickening around the eye with no evidence of an orbital mass, thus confirming the diagnosis (b)