Unilateral posterior pole retinoblastoma treated by photocoagulation combined with irradiation and chemotherapy
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I Kremer1, I Nissenkorn, S Cohen
1Department of Ophthalmology, Beilinson Medical Center, Petah Tiqva, Israel.
Insights
A 10-month-old infant with right esotropia was diagnosed with a large posterior pole tumor. Treatment involving photocoagulation, irradiation, and chemotherapy yielded satisfactory outcomes for this pediatric eye tumor.
Area of Science:
- Ophthalmology
- Pediatric Oncology
Background:
- Esotropia in infants can be a sign of serious intraocular pathology.
- Early diagnosis and intervention are crucial for preserving vision and life in pediatric cases.
Observation:
- A 10-month-old infant presented with right esotropia.
- Ophthalmic examination revealed a large tumor (12 Diopter Disc diameters) in the posterior pole, adjacent to the optic nerve.
Findings:
- The pediatric intraocular tumor was successfully managed with a multi-modal treatment approach.
- Combined photocoagulation, irradiation, and chemotherapy resulted in satisfactory clinical outcomes.
Implications:
- This case highlights the importance of prompt evaluation of strabismus in infants.
- A combination therapy can be effective in managing large posterior pole tumors in children.
- Aggressive treatment strategies may lead to favorable results in pediatric ocular oncology.
Abstract:
A 10-month-old baby was referred to our department due to esotropia in the right eye and found to have a large tumor (12 D.D.) in the posterior pole near the optic nerve of this eye. This patient was treated by photocoagulation, irradiation and chemotherapy and satisfactory results were obtained.