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Management of retinal tumors
Author(s) -
DESJARDINS L
Publication year - 2008
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2008.3353.x
Subject(s) - retinoblastoma , cryotherapy , enucleation , medicine , von hippel–lindau disease , radiation therapy , vitrectomy , surgery , retinal , coats' disease , ophthalmology , disease , visual acuity , pathology , biochemistry , chemistry , gene
The course will include the management of retinoblastoma and the treatment of retinal angiomas. Practical management of retinoblastoma will be described. The techniques of treatment include enucleation, radiotherapy by external beam or proton beam, plaque brachyterapy , chemoreduction and chemothermotherapy, laser treatment and cryotherapy. The techniques will be detailed and the indications will be given. Advance unilateral retinoblastoma is often an indication for enucleation. Conservative management is performed as often as possible especially in bilateral retinoblastoma. We shall give the methods to avoid extra ocular retinoblastoma like orbital recurrence or metastasis. We shall describe the rules for follow up of the patients after treatment and for screening for early diagnosis in familial retinoblastoma. Guidelines for genetic counselling will be also given. Retinal capillary hemangangiomas can be unique or multiple in case on Von Hippel Lindau disease. Treatments of the angiomas include laser therapy and cryotherapy for bigger angiomas Vitrectomy with endolaser can be needed in rare instances and radiotherapy has been used in selected cases. Cavernous hemangiomas of the retina are rare; they usually are stable with no need for therapy.