A one-year-old child having leucocoria was detected to be having a unilateral, large retinoblastoma filling half the globe. Current therapy would involve:
2. Chemotherapy followed by local dyes.
3. Direct Laser ablation using photo dynamic cryotherapy.
4. Scleral radiotherapy followed by chemotherapy.
SKBasak 2nd Edition Page 258
Kanski 4th Edition Page 341
Parson 19th Edition Page 400
Enucleation is indicated in unilateral and bilateral Retinoblastomas involving more than half of the globe
1. Enucleation is done as the Retinoblastoma is filling half the globe.
2. Chemotherapy followed by local dyes will not be effective.
3. Direct Laser ablation using photodynamic cryotherapy will not be effective.
4. Scleral radiotherapy followed by chemotherapy will not be effective.
Two questions have been asked about Retinoblastoma. (the other is given in Pathology) Another theme couple
Management of Tumours of Eye with regard to the size
· Small Tumours
o Laser Photocoagulation or transpupillary thermotherapy
· Medium Tumours
o Brachytherapy : Tumour less than 12 mm in diameter and less than 6 mm in thickness
o Chemotherapy with Carboplastin, Vincristine, Etoposide
o External Beam Irradiation
· Large Tumours
Source of this Question: RxPG AIPG 2003 Book RxPG BEST SELLER
Author : Dr. J. Mariano Anto Bruno Mascarenhas
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