How to manage » Retinoblastoma Treatment
Treatment of any cancer depends of the state and stage of the detection of cancer, whether in one eye or both eyes, however ultimately treatment depends on the tumor reacting to the course of action taken against it.
Retinoblastoma treatment needs a group of doctors with different specializations includes a ophthalmologist, oncologist, and a pediatrician.This core group should decide the protocols and treatment for retinoblastoma. The following methods may be used individually or in combination to treat retinoblastoma depending on the tumor size, stage and spread.
Intravenous chemotherapy: Generally for advanced unilateral retinoblastoma or bilateral retinoblastoma cases. Chemotherapy drugs are given intravenously, this treatment can comprise up to 6 sessions of chemotherapy
Subtenon’s chemotherapy – In this therapy the chemotherapy drugs may be injected in the tissues around the eye, where it slowly diffuses into the eyeball.
Intra-arterial chemotherapy – The chemotherapy drugs are directly injected into ophthalmic artery which calls for an experienced doctor who's specialized in handling such cases.
Intravitreal chemotherapy (melphalan) – used for eyes that have viable seeding in the inside jelly (vitreous)
Photocoagulation / Lazertherapy : A laser is used to kill blood vessels that feed the tumor.
Extremely low temperatures are used to kill cancer cells. used to treat regressed retinoblastoma after chemotherapy so that they do not recur
It may be given externally or internally. External-beam radiation therapy uses X-rays to kill cancer cells. Internal, or local radiation therapy, involves placing small amounts of radioactive material inside of or near the tumor to kill cancer cells.
As a Last Resort
The removal of the eye should be considered only if all other possible treatment options have failed to reduce the tumor and instead of receding the tumor is still growing. It is quite possible that to save the tumor from spreading to the other eye, one eye may have to be removed and in case of tumor being present in both eyes the child will become blind.
In consultation with the team of doctors & parents
Such a drastic step which will impact the life of the kid for lifetime needs be done in consultation with the team treating the kid, i.e ophthalmologist, oncologist and pediatrician. The ophthalmologist performs the surgery where he or she removes one or both eyes depending on the spread of the tumor and replaces them with artificial eye in the eye socket.
Be positive for the sake of the child
Children are very receptive to the kind of vibes you portray and if you are positive it will help them cope with it better, so make sure you remain happy in front of them and help them in their dire need with all the support you can possible give as a parent. Playing and spending time with to help them adjust with their vision issues is the best time you will ever spend in your life.