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Scleral buckling effective in specific cases of retinoblastoma-induced retinal detachment
NICE, France — Retinoblastoma-induced retinal detachment that occurs in advanced cases treated with intra-arterial chemotherapy can be effectively reduced in a high percentage of cases by scleral buckling surgery, according to a study presented at the Euretina meeting.
A retrospective study was conducted on all consecutive patients presenting with a diagnosis of retinoblastoma at the Jules Gonin Eye Hospital between November 2008 and October 2014, accounting for a total of 30 eyes of 30 patients with age ranging between 6 years and 87 years.
Jean-Antoine C. Pournaras
“Eleven patients (37%) presented initial [retinal detachment]. In this subgroup, the retina reattached spontaneously after one or more [intra-arterial chemotherapy] injections within 5 months,” Jean-Antoine C. Pournaras, MD, said.
Of the remaining 19 cases, 16 (84%) developed retinal detachment after a mean of 41 days. Five of them had spontaneous reattachment within 5 months, while 10 required surgery.
“In all cases we did scleral buckling surgery without drainage of subretinal fluid, as there were probably metastatic cells. We performed an anterior chamber tap and cryocoagulation in all eyes,” Pournaras said.
Regression of retinal detachment occurred in almost 90% of cases with retinal surgery, with complete reapplication in almost 70%. Mean visual acuity improved in these eyes. – by Michela Cimberle
Disclosure: Pournaras reports no relevant financial disclosures.