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Diagnosing Retinoblastoma

 

The Retinoblastoma tumor develops from the immature retina and affects about 1 in 20,000 children. There are two basic types of retinoblastomas:

Heredity forms: usually results in tumors in both eyes
Non-heredity forms: usually affects one eye.

Left untreated retinoblastoma is usually always fatal. However, early diagnosis and treatment increases the chance of survival to 90%.





Diagnosis:

Screening by Pediatricians should be done during the first three months of a baby's life. At a minimum the doctor should conduct the following:


The Red Reflex: A test that determines the normal path of light reflected from the eye as light passes through.
The Corneal Light Reflex: A test that helps determine if eyes are crossed. Light is shined into each cornea and a symmetrical beam of light is reflected back in the same spot on each eye.
An Eye Examination: to check for any basic structural abnormalities.
At the age between 3 and 5, the child should be evaluated for the following:


- visual acuity,
- color vision and
- depth perception.





Treatment:

There are several methods of treatment that are successful for Retinoblastoma:

Laser therapy: used to reduce the blood flow to the tumor by destroying the blood vessels surrounding the tumor

Cryotherapy: Cold gas is injected to shrink the tumor.

Thermotherapy: Heat is added to destroy the tumor cells.


Radiotherapy: A last resort method that destroys the tumor cells but also has the drawback of destroying healthy tissue.
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