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