Retinoblastoma physical examination: Difference between revisions
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* The presence or absence of an afferent pupillary defect should be determined. | * The presence or absence of an afferent pupillary defect should be determined. | ||
* If there is any suspicion for retinoblastoma, the patient should undergo an examination under anesthesia. An examination under anesthesia with careful scleral depression is necessary to confirm the diagnosis of retinoblastoma as well as to determine the exact location and extent of the tumor(s) and the tumor staging. Photographic documentation for future comparison is recommended. | * If there is any suspicion for retinoblastoma, the patient should undergo an examination under anesthesia. An examination under anesthesia with careful scleral depression is necessary to confirm the diagnosis of retinoblastoma as well as to determine the exact location and extent of the tumor(s) and the tumor staging. Photographic documentation for future comparison is recommended. | ||
* Complete retinal examination of both eyes is necessary to rule out bilateral disease | * Complete retinal examination of both eyes is necessary to rule out bilateral disease.<ref>http://eyewiki.org/Retinoblastoma#Physical_Examination</ref> | ||
==References== | ==References== | ||
Revision as of 19:50, 3 September 2015
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Common physical examination findings of retinoblastoma include leukocoria, retinal detachment, vitreal opacification and hemorrhage and the diagnosis is challenging.
Eyes
- Age-appropriate visual acuity testing should be performed monocularly.
- External examination should rule out proptosis and signs of orbital cellulitis.
- Slit lamp examination should look for ciliary injection, pseudohypopyon, or signs of secondary glaucoma.
- The presence or absence of an afferent pupillary defect should be determined.
- If there is any suspicion for retinoblastoma, the patient should undergo an examination under anesthesia. An examination under anesthesia with careful scleral depression is necessary to confirm the diagnosis of retinoblastoma as well as to determine the exact location and extent of the tumor(s) and the tumor staging. Photographic documentation for future comparison is recommended.
- Complete retinal examination of both eyes is necessary to rule out bilateral disease.[1]