The management of retinobla stoma has been shifting toward conservativetreat-ment. Visual preservation has become a concern as tumor regression is achieved. To re -port the surgical approach and outcome of a radiation-induced cataract in an only eye with regressed retinoblastoma.
Methods
Single case report and review of literature.
Results
Small incision sutureless phacoemulsification and implant of an acrylic foldable in-traocular lens was performed. Best-corrected visual acuity 1 year after surgery was 20/20. No tumor recurrence has been noted after 27 months of follow-up.
Conclusions
Phacoemulsification and foldable intraocular lens implant seemed to be an ap-propriate therapeutic option for this case.
HonavarSG, ShieldsCL, ShieldsJA, DemirciH, NaduvilathTJ. Intraocular surgery after treatment of retinoblastoma. Arch Ophthalmol2001; 119: 1613-21.
2.
LeeV, HungerfordJL, BunceC, AhmedF, PlowmanPN. Globe conserving treatment of the only eye in bilateral retinoblastoma. Br J Ophthalmol2003; 87: 1374-80.
3.
BrooksHLJrMeyerD, ShieldsJA, BalasAG, NelsonLB, FontanesiJ.Removal of radiation-induced cataracts in patients treated for retinoblastoma. Arch Ophthalmol1990; 108: 1701-8.
4.
HosalBM, BiglanAW, ElhanAH. High levels of binocular function are achievable after removal of monocular cataracts in children before 8 years of age. Ophthalmology2000; 107: 1647-55.
5.
PortellosM, BuckleyEG. Cataract surgery and intraocular lens implantation in patients with retinoblastoma. Arch Ophthalmol1998; 116: 449-52.
GimbelHV. Divide and conquer nucleofractis phacoemulsi-fication: development and variations. J Cataract Refract Surg1991; 17: 281-91.
8.
VasavadaAR, TrivediRH, NathVC. Visual axis opacification after AcrySof intraocular lens implantation in children. J Cataract Refract Surg2004; 30: 1073-81.
9.
SinhaR, TityalJS, SharmaN, VajpayeeRB. Management of radiotherapy-induced cataracts in eyes with retinoblas-toma. J Cataract Refract Surg2004; 30: 1145-6.
10.
BhattacharjeeH, BhattacharjeeK, ChakrabortyD, TalukdarM, DasD.Cataract surgery and intraocular lens implantation in a retinoblastoma case treated by external-beam radiation therapy. J Cataract Refract Surg2003; 29: 1837-41.
