This document describes a retrospective study of 24 retinoblastoma patients seen at a tertiary eye care center in Gujarat, India. Key findings include: - The majority of patients were from rural areas (95.9%) and had lower socioeconomic status (91.8%). - Most common treatments were enucleation (removal of the eyeball) and exentration (removal of the eye contents). - Patients presented with advanced disease, having symptoms for a median of 3.9 months before seeking care. - The study concludes earlier detection is needed through health education and training of local eye care providers.