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Visual acuity after successful treatment of large macular retinoblastoma.

Publication ,  Journal Article
Buckley, EG; Heath, H
Published in: J Pediatr Ophthalmol Strabismus
1992

Recent trends in the treatment of retinoblastoma have favored radiation therapy as opposed to enucleation. A major determining factor in selecting radiation therapy is the possibility of useful posttreatment visual function. While the treatment of nonmacular tumors seems reasonable, little information is available about the posttreatment visual outcome of large posterior pole tumors. We treated 17 patients (20 eyes) with group III-V retinoblastoma and large posterior pole tumors with external beam radiation. Visual acuity after treatment ranged from 5/200 to 20/50. Potential posttreatment visual function was difficult to predict using such pretreatment factors as age at diagnosis, funduscopic appearance, and the number, size, and location of the tumors. Surprising visual function was obtained in some patients with multiple large macular tumors. Follow up ranged from 1 to 8 years. No patient developed metastatic disease; however, four patients required subsequent cataract extraction. This study supports the consideration of radiation therapy as the primary treatment in eyes previously felt to have a poor visual outcome.

Duke Scholars

Published In

J Pediatr Ophthalmol Strabismus

DOI

ISSN

0191-3913

Publication Date

1992

Volume

29

Issue

2

Start / End Page

103 / 106

Location

United States

Related Subject Headings

  • Visual Fields
  • Visual Acuity
  • Treatment Outcome
  • Retrospective Studies
  • Retinoblastoma
  • Ophthalmology & Optometry
  • Macula Lutea
  • Infant
  • Humans
  • Fundus Oculi
 

Citation

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Buckley, E. G., & Heath, H. (1992). Visual acuity after successful treatment of large macular retinoblastoma. J Pediatr Ophthalmol Strabismus, 29(2), 103–106. https://doi.org/10.3928/0191-3913-19920301-10
Buckley, E. G., and H. Heath. “Visual acuity after successful treatment of large macular retinoblastoma.J Pediatr Ophthalmol Strabismus 29, no. 2 (1992): 103–6. https://doi.org/10.3928/0191-3913-19920301-10.
Buckley EG, Heath H. Visual acuity after successful treatment of large macular retinoblastoma. J Pediatr Ophthalmol Strabismus. 1992;29(2):103–6.
Buckley, E. G., and H. Heath. “Visual acuity after successful treatment of large macular retinoblastoma.J Pediatr Ophthalmol Strabismus, vol. 29, no. 2, 1992, pp. 103–06. Pubmed, doi:10.3928/0191-3913-19920301-10.
Buckley EG, Heath H. Visual acuity after successful treatment of large macular retinoblastoma. J Pediatr Ophthalmol Strabismus. 1992;29(2):103–106.

Published In

J Pediatr Ophthalmol Strabismus

DOI

ISSN

0191-3913

Publication Date

1992

Volume

29

Issue

2

Start / End Page

103 / 106

Location

United States

Related Subject Headings

  • Visual Fields
  • Visual Acuity
  • Treatment Outcome
  • Retrospective Studies
  • Retinoblastoma
  • Ophthalmology & Optometry
  • Macula Lutea
  • Infant
  • Humans
  • Fundus Oculi