Current treatment of optic nerve gliomas

Marybeth K Farazdaghi1,2, William R Katowitz1,2, Robert A Avery1,2,3

  • 1Division of Ophthalmology, The Children's Hospital of Philadelphia.

Abstract

Insights

Optic nerve gliomas (ONG) treatment is evolving. While chemotherapy is standard, targeted therapies show promise for these pediatric visual pathway tumors.

Area of Science:

  • Pediatric Oncology
  • Neuro-oncology
  • Ophthalmology

Background:

  • Optic pathway gliomas are low-grade neoplasms affecting the pediatric visual pathway.
  • They can be sporadic or associated with neurofibromatosis type 1.
  • Gliomas isolated to the optic nerve (ONG) have controversial treatment strategies.

Purpose of the Study:

  • To review current understanding of optic nerve glioma (ONG) treatments.
  • To highlight recent developments in ONG therapy.
  • To provide clinicians with an updated overview of available therapeutic options.

Main Methods:

  • Literature review focusing on ONG treatment.
  • Analysis of standard chemotherapy, molecularly targeted therapies, radiation, and surgery.
  • Synthesis of recent advancements and ongoing clinical studies.

Main Results:

  • Standard chemotherapy remains a primary treatment for ONG.
  • New molecularly targeted therapies, including MEK inhibitors and bevacizumab, are emerging.
  • Radiation therapy and surgical debulking are also discussed.

Conclusions:

  • Molecularly targeted therapies represent a promising new modality for ONG treatment.
  • Ongoing clinical studies are evaluating the efficacy of these novel agents.
  • A comprehensive understanding of evolving ONG therapies is crucial for clinical practice.

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