Nursing Study Guide for Retinoblastoma in the Pediatric Patient
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Congenital, highly malignant tumor from embryonic retinal cells
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Accounts for 5% of childhood blindness
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5-year survival 90%
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Dx by 5 y/o
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Hereditary or non-hereditary (advanced paternal age)
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Cat’s eye reflex / whitewash glow (leukocoria)
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Absent red reflex
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Strabismus (late)
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Erythema
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Swelling
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CT
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MRI
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Ophthalmic exam
- Under general anesthesia |
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Lumbar Puncture
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Bone Marrow Aspiration
- Metastasis |
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Surgical removal of eye
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ABX ointment w/ dressing change
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Post-op care
- Large pressure dressing - Observe for bleeding - Sterile dressing changes (saline rinses, ABX ointment) - High risk for meningitis! |
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Encourage eye check ups for remaining eye
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Encourage genetic testing
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Goggles during sports
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No contact sports
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Tx w/ eye infections
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