Jonathan W Kim1, Lynn K Ngai2, Srinivas Sadda2, Yohko Murakami2, Diana K Lee3, A Linn Murphree3. 1. Department of Ophthalmology, Vision Center, Children's Hospital Los Angeles (location of study), Los Angeles, California, USA Department of Ophthalmology, Keck School of Medicine of USC, Los Angeles, California, USA. 2. Department of Ophthalmology, Keck School of Medicine of USC, Los Angeles, California, USA. 3. Department of Ophthalmology, Vision Center, Children's Hospital Los Angeles (location of study), Los Angeles, California, USA.
Abstract
PURPOSE: To characterise the fluorescein angiogram (FA) findings of eyes with advanced retinoblastoma evaluated with the Retcam contact fundus camera. METHODS: A retrospective case series was performed on all new retinoblastoma patients evaluated with Retcam FA between 2000 and 2012. Inclusion criteria included (1) patients with advanced retinoblastoma (group D or E), (2) eyes studied with early, mid-phase and late-phase Retcam FA photographs and (3) no prior treatment. RESULTS: A total of 100 eyes fulfilling the inclusion criteria were identified. For the 47 group D eyes, FA findings included iris neovascularisation (10/47), large retinal vessel dilatation (46/47), small retinal vessel changes (35/47) and retinal venous leakage (20/47). Among the 53 group E eyes, FA findings included iris neovascularisation (45/53), large retinal vessel dilatation (43/53), small retinal vessel changes (37/53) and vascular abnormalities at multiple levels (11/53). CONCLUSIONS: Advanced intraocular retinoblastoma is associated with multiple retinal vascular abnormalities on Retcam FA. These findings may be helpful in defining the extent of disease and distinguishing this tumour from other paediatric ocular conditions. Key clinical findings were subclinical iris neovascularisation, a variety of small vessel changes, intrinsic tumour vessels and retinal venous leakage. Retcam FA was not found to be clinically useful after 3 min. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
PURPOSE: To characterise the fluorescein angiogram (FA) findings of eyes with advanced retinoblastoma evaluated with the Retcam contact fundus camera. METHODS: A retrospective case series was performed on all new retinoblastomapatients evaluated with Retcam FA between 2000 and 2012. Inclusion criteria included (1) patients with advanced retinoblastoma (group D or E), (2) eyes studied with early, mid-phase and late-phase Retcam FA photographs and (3) no prior treatment. RESULTS: A total of 100 eyes fulfilling the inclusion criteria were identified. For the 47 group D eyes, FA findings included iris neovascularisation (10/47), large retinal vessel dilatation (46/47), small retinal vessel changes (35/47) and retinal venous leakage (20/47). Among the 53 group E eyes, FA findings included iris neovascularisation (45/53), large retinal vessel dilatation (43/53), small retinal vessel changes (37/53) and vascular abnormalities at multiple levels (11/53). CONCLUSIONS: Advanced intraocular retinoblastoma is associated with multiple retinal vascular abnormalities on Retcam FA. These findings may be helpful in defining the extent of disease and distinguishing this tumour from other paediatric ocular conditions. Key clinical findings were subclinical iris neovascularisation, a variety of small vessel changes, intrinsic tumour vessels and retinal venous leakage. Retcam FA was not found to be clinically useful after 3 min. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Authors: Robert J House; S Tammy Hsu; Akshay S Thomas; Avni P Finn; Cynthia A Toth; Miguel A Materin; Lejla Vajzovic Journal: Ophthalmol Retina Date: 2018-09-29
Authors: Juan P Fernandez; Asghar A Haider; Lejla Vajzovic; Arathi Ponugoti; Michael P Kelly; Miguel A Materin Journal: Ocul Oncol Pathol Date: 2021-06-02