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Restoration of Foveal Anatomy and Function Following Chemoreduction for Bilateral Advanced Retinoblastoma With Total Retinal Detachment
Arch Ophthalmol. 2005;123:1610-1612.
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It is common for children with retinoblastoma to have extensive subretinal fluid, often involving the fovea and compromising visual acuity.1 Following chemoreduction, retinal detachment generally resolves over several months. In 1 study of eyes with total retinal detachment from retinoblastoma, complete retinal reattachment was found in 76% of cases using chemoreduction.2 However, the microarchitecture of the attached retina has not yet been evaluated. In this case, we report the long-term foveal microarchitectural findings using optical coherence tomography (OCT) in a child with advanced retinoblastoma and total retinal detachment in both eyes.
Report of a Case
In 1998, an 11-month-old girl was noted by her parents to have poor visual acuity. Ocular examination disclosed visual acuity of no fix or follow in each eye. Bilateral leukocoria with total retinal detachment behind the clear lens was found (Figure 1). The retinal detachment was 12 mm in elevation by ultrasonography in each eye. Bilateral exophytic . . . [Full Text of this Article]
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AUTHOR INFORMATION
Carol L. Shields, MD;
Miguel A. Materin, MD;
Jerry A. Shields, MD
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Hakan Demirci, Carol L. Shields, Anna T. Meadows, and Jerry A. Shields
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