Eye Cancer Treatment

Eye Cancer Retinoblastoma
Frequency:- Retinoblastoma Occurs In 80% Of The Children Before 3 Years Of Age And Its Diagnosis In Children Over 6 Years Of Age Is Extremely Uncommon.
Screening & Diagnosis Of Retinoblastoma:-
Screening for retinoblastoma happens for newborns in the first three months, and it includes:
The red reflex: Looking for a reddish-orange reflection from the eye’s retina from around 30 cm / 1 foot.
The corneal light reflex / Hirschberg test: Looking for symmetrical reflection of light beam in the same spot on each eye.
Eye examination: Looking for structural abnormalities
Signs And Symptoms Of Eye Cancer Retinoblastoma:-
1. Abnormal appearance of the pupil
2. Leukoria- amanrotic cats eye reflex
3. Deterioration of vision red and irritated eye with Glaucoma
4. Children develop squint as a cross eyed or a wall eye.
Treatment Of Eye Cancer Retinoblastoma:-
The main concern of RB treatment is to safeguard the life of the child and minimize complications rather than preserving the vision.
Enuncleation:-
Most patients with unilateral disease present with advanced intraocular disease therefore usually undergo enanculation which results in the cure rate of 95% In bilalateral RB enanculation is usually reserved for eyes that have failed all known effective therapies or without useful vision.
Brachytherapy:-
Brachytherapy involves the placement of radioactive implant (plaque) usually on the selera adjacent to the base of tumor. It is used as a primary treatment.
Thermotherapy:-
Involves the application of heat in the affected area, generally in the form of infrared radiation. It is used for small tumors.
Cryotherapy:-
It damages the vascular endothelium with secondary thrombosis by quickly freezing it.
Chemotherapy:-
Systematic chemotherapy has become forefront of treatment in the past decade in search of globe preserving measures and to avoid the adverse effect of EBRT(External beam radiation therapy).