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Eye Tumors

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by

Mohammed Abudeif Abdelaal

on 23 September 2013

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Transcript of Eye Tumors

Large
V
G
N
I
R
S
L
H
Retinoblastoma (Glioma retinae)
Incidence
1-20,000 live birth
USA : 250-300 / year
+ve Family history
Aetiology
Mutation in tumor
suppressor gene on
chromosome 13
Age: 2-5 --> (Before 3)
Leukocoria
Squint
Squint
Buphthalmos
Proptosis
Hyphema
Malignant hypopyon
Nystagmus
Abnormal red reflex
Abscent red reflex
Normal red reflex
C/P
Different iris colors
Glaucoma
of vision
Stages
Quiescent stage
Stage of distant metastasis
Stage of extraocular
extension
Glaucomatous stage
Leukocoria
Squint
Nystagmus
of vision
Redness
pain
watering
tumor is small
1
2
Sclera
Orbit
1
2
Rare
Very rare
Diagnosis
1-Fundus examination
6-X-ray
5-CT scan
4-MRI
3-Ultrasonography
2-Indirect ophthalmoscope
TTT
Photocoagulation
use Verteporfin
to eliminate the abnormal blood vessels in the eye
Trans-pupillary thermotherapy
Brachy therapy (internal radiotherapy)
Chemotherapy
Enucleation +
Exicision of long stamp of optic.n
transscleral cryotherapy
medium....
... small
DD of Leukocoria (Not yet)
Malignant melanoma
Black races
Age: Adult age (about 50 years)
Incidence
rare
B
M
a
a
No hereditary
Early
R
D
Blurring of vision
2ry glaucoma
GMRC :)
Late
Asymptomatic
M
acula affection
C
ataract
2ry
G
laucoma
Iridocyclitis
Field defects (Scotomas)
Pain
of vision
due to
due to
C/P
Diagnosis
1-Fundus examination
6-X-ray
5-CT scan
4-MRI
3-Ultrasonography
2-Indirect ophthalmoscope
Stages
Quiescent stage
Stage of distant metastasis
Stage of extraocular
extension
Glaucomatous stage
Redness
pain
watering
1
2
Sclera
1
2
Rare
Very common
Orbit
Anterior
to
the
as
a
dark
mass
Posterior
Mushroom shaped inside the eye
TTT
3-Trans-pupillary thermotherapy
1-Brachy therapy (internal radiotherapy)
4-Enucleation
2-External radiotherapy
Full transcript