A 5 year old boy presents with leucocoria in the right eye which is diagnosed as diffuse retinoblastoma involving the entire globe. Examination of the left eye revealed a small 2-3 mm tumor in the periphery. What will be the ideal management of this patient?
Ans. (c) Enucleation of right eye and focal therapy of the left eyeRef: Yanoff 2/e, p. 1047; Other ReferencesBilateral retionoblastoma with large/diffuse retinoblastoma in eyeLarge tumorDiffuse tumor (Full globe)Small tumor in fellow eyeNormal fellow eyeSmall tumor in fellow eyeNormal fellow eyeChemotherapy for large tumor plus focal therapy for small tumor in fellow eye.EnucleationEnucleation for diffuse tumor plus focal theraphy for small tumor in fellow eyeEnucleation for diffuse tumor
Enucleation of both eyes
Enucleation of right eye and observation for left eye
Enucleation of right eye and focal therapy of the left eye
Six cycles of chemotherapy
Retina