Stephen J. Schueler, M.D.

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Retinoblastoma Evaluation

Evaluation of retinoblastoma begins with a history and physical examination.

The eye exam includes vision testing, examining the retina with an ophthalmoscope, and a slit lamp exam.

Physical findings in someone with retinoblastoma may include:

  • Abnormal retina:
    • Dark, pigmented lesions called spicules
    • Narrowed retinal arteries
    • Central disk may have a waxy, yellow appearance
  • Strabismus:
    • Crossed eyes
  • Decreased vision: peripheral areas of vision most affected
  • Unusual color of the eye:
    • Part of the pupil becomes white.

Testing is required to make the diagnosis of retinoblastoma.

Tests that may be used to evaluate retinoblastoma include:
  • CT scanning of the eye
  • Ultrasound of the eye
  • MRI scan of the orbits

Continue to Retinoblastoma Treatment

Last Updated: Jan 4, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Retinoblastoma References
  1. Chan HS, Gallie BL, Munier FL, Beck Popovic M. Chemotherapy for retinoblastoma. Ophthalmol Clin North Am. 2005 Mar;18(1):55-63, viii. [15763191]
  2. Honavar SG, Singh AD. Management of advanced retinoblastoma. Ophthalmol Clin North Am. 2005 Mar;18(1):65-73, viii. [15763192]
  3. Mietz H, Hutton WL, Font RL. Unilateral retinoblastoma in an adult: report of a case and review of the literature. Ophthalmology. 1997 Jan;104(1):43-7. [9022103]
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