Retinoblastoma-Treatment


Retinoblastoma-Treatment


The treatment of retinoblastoma includes the following:

Focal-

  • Cryotherapy
  • Laser photocoagulation
  • Trans pupillary Thermotherapy

Systemic-

This involves chemotherapy, which is further divided into the following

Intravenous:

  • Success rates > 95%
  • [VEC] – 6 cycles
  • S/E – deafness

Intravitreal:

  • DOC- MELPHALAN

Intraarterial:

  • Into Ophthalmic Artery
  • MELPHALAN
  • TOPOTECTAN
  • CARBOPLATIN

Enucleation:

  • Advanced intra ocular RB with NVI (Neovascularization of Iris)
  • Secondary Glaucoma
  • AC invasion
  • 75 % of vitreous volume involvement
  • Hyphema
  • Necrotic tumors with orbital inflammation

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