VIDEO: First save the life, second save the eye, third save the vision
In this video, Sophia El Hamichi, MD, a medical doctor at Murray Ocular Oncology and Retina, discusses the challenges of treating persistent retinal detachment in retinoblastoma among children.
She explains that the goal of treatment should first be to save the patient’s life. This is then followed by saving the eye because of “the psychological impact on these children,” and saving the vision, while important for quality of life, is the third goal. New treatment options have made saving the eye and vision of a patient “more and more possible.” According to El Hamichi, treating children with retinal detachment in retinoblastoma requires an individualized approach, with many questions to consider and risks and benefits to be evaluated by the physicians and parents.
El Hamichi discusses some novel treatment options, such as anti-VEGF, and other surgical options for persistent retinal detachment in retinoblastoma. However, it is important to note that research among a pediatric population is “very controversial” because they cannot consent for themselves and there are many ethical issues that arise, as well.