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Related Concept Videos

The Retinoblastoma Gene01:20

The Retinoblastoma Gene

Tumor suppressor genes are normal genes that can slow down cell division, repair DNA mistakes, or program the cells for apoptosis in case of irreparable damage. Hence, they play an essential role in preventing the proliferation of damaged cells.
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...

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Subretinal Transplantation of Human Embryonic Stem Cell Derived-retinal Pigment Epithelial Cells into a Large-eyed Model of Geographic Atrophy
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Transcorneal Vitrectomy In Eyes With Regressed Retinoblastoma.

Yicheng K Bao1, Gisella M Sanchez2, Thomas C Lee1,2

  • 1Roski Eye Institute, Keck School of Medicine, University of Southern California, Los Angeles, California; and.

Retina (Philadelphia, Pa.)
|January 9, 2025
PubMed
Summary
This summary is machine-generated.

A novel transcorneal vitrectomy technique offers a chemotherapy-free and cryotherapy-free surgical option for regressed retinoblastoma. This approach facilitates globe salvage while managing vitreoretinal complications and shows promise in avoiding further treatments.

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Area of Science:

  • Ophthalmology
  • Oncology
  • Surgical Innovation

Background:

  • Current retinoblastoma treatments can lead to vitreoretinal disorders requiring surgery.
  • Surgical approaches for retinoblastoma remain a subject of debate.
  • This study explores an alternative surgical method for managing eyes with regressed retinoblastoma.

Purpose of the Study:

  • To describe a transcorneal vitrectomy technique for eyes with regressed retinoblastoma.
  • To evaluate the safety and efficacy of this approach in avoiding chemotherapy or cryotherapy.
  • To assess surgical outcomes and oncological safety.

Main Methods:

  • Retrospective chart review of five patients with regressed retinoblastoma (Group D/ct2b) who underwent vitrectomy.
  • Utilized a transcorneal vitrectomy approach with radially oriented corneal incisions and top-down visualization.
  • No chemotherapy or cryotherapy was administered; a postsurgical water rinse was performed to lyse potential retinoblastoma cells.

Main Results:

  • Eight vitrectomies were performed for indications including IOL fibrosis, vitreous hemorrhage, cataract, retinal detachment, and silicone oil removal.
  • Surgical objectives were achieved with stable vision and no evidence of retinoblastoma spread.
  • Mean follow-up was 7.6 months, with no recurrence noted.

Conclusions:

  • The described transcorneal vitrectomy technique allows for top-down viewing and avoids suturing through the uveal tract.
  • A postsurgical water rinse may help eliminate residual retinoblastoma cells.
  • This approach presents a potential alternative to chemotherapy or cryotherapy in managing regressed retinoblastoma.