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What is retinoblastoma in children?
Retinoblastoma is a rare cancer of the retina of the eye. The retina is a group of
special nerve cells sensitive to light located in the back of the eye. These light
sensing cells are connected to the brain and optic nerve, which allows sight. Retinoblastoma
is the most common tumor affecting the eye in children. It almost always occurs in
children less than 6 years old.
What causes retinoblastoma in a child?
The cancer is caused by a change (mutation) in the RB1 gene. It may be a gene passed
down from parents (inherited). Or it may be a gene change that happens by chance (sporadic).
In 1 out of 3 children with retinoblastoma, it’s present at birth (congenital), and
the gene change is in all cells in the body. This is known as hereditary retinoblastoma.
In this form, the retinoblastoma usually affects both eyes. It also increases the
risk of other cancers such as sarcoma and melanoma.
In 2 out of 3 children with retinoblastoma, they have no increased risk for other
cancers. In these cases, it often affects only one eye.
What are the symptoms of retinoblastoma in a child?
Symptoms may affect 1 or both eyes. Symptoms can occur a bit differently in each child.
They can include:
Leukocoria. This is an abnormal white reflection from the retina of the eye. The dark center
part of the eye (pupil) actually looks white. This may only be seen during a doctor's
exam or in a flash photo.
Strabismus (lazy eye). This is when the eyes are misaligned. The eyes don’t move together or look in the
Less common symptoms may include:
Most of the time, retinoblastoma has not spread (metastasized) to other areas of the
body when it’s diagnosed. If it has spread, other symptoms may include:
The symptoms of retinoblastoma can be like other health conditions. Make sure your
child sees a healthcare provider for a diagnosis.
How is retinoblastoma diagnosed in a child?
Your child's healthcare provider will ask about your child's health history and symptoms.
They will examine your child and pay close attention to the eyes. The healthcare provider
will likely advise that your child see an eye specialist (ophthalmologist).
The ophthalmologist will check your child's eyes with special tools. Your child may
need a dilated indirect ophthalmoscopic exam. Your child may be given anesthesia medicine
to sleep through the exam.
Your child may need other tests such as:
Ocular ultrasound. This test uses sound waves to create images of the eyes.
CT scan. A series of X-rays and a computer are used to make detailed images.
MRI.Large magnets, radio waves, and a computer are used to make detailed images.
Blood tests. Your child’s blood may be tested for signs of disease, and for genetic changes.
A child may be diagnosed with no symptoms. This may be the case if you have a family
history of retinoblastoma. Your child may have eye exams often to check for signs
of the cancer.
After a diagnosis of retinoblastoma, these tests will help your child's healthcare
provider know if the cancer is inside the eye, how much of the eye is involved, and
if it has spread beyond the eye. This process is called staging. The stage of a cancer
is one of the most important things to know when deciding how to treat it. Doctors
use 2 standard staging systems for retinoblastoma.
The newer system is called the International Classification for Intraocular Retinoblastoma.
It divides these tumors into 5 groups lettered A through E. The groups are based on
how likely it is that the eye can be saved. Group A means the tumor is small and not
near important structures that allow your child to see. These tumors can likely be
removed and vision can be saved. The higher the group, the more advanced the tumor
is. A tumor in Group E means that healthcare providers have little to no chance of
saving the eye. The other groups then fall between these extremes.
The Reese-Ellsworth system is older and less commonly used. It groups retinoblastomas
much like the International Classification system, based on whether the eye and vision
can be saved. The system uses groups numbered 1 through 5. Group 1 means a good chance
of saving the eye, and Group 5 means it's not likely. The other groups fall between
Doctors may use other staging systems. The staging process for retinoblastoma can
be very complex. Be sure to ask your child's healthcare provider to explain the stage
of your child's cancer
How is retinoblastoma treated in a child?
Most children in the U.S. with retinoblastoma have a good chance of recovery.
Your child will be treated by a team of different types of healthcare providers, such
Children’s cancer specialist (pediatric oncologist)
Specialist in using radiation to treat cancer (radiation oncologist)
Pediatric nurse specialist
Treatment will depend on your child’s symptoms, age, and general health. It will also
depend on how severe the condition is. It also depends on whether the retinoblastoma
Many of the treatment methods require sleep medicine (anesthesia). Treatment may include
Laser therapy or photocoagulation. A laser is used to destroy the blood supply to the tumor. This is used on some smaller
Surgery. In some cases, surgery may be done to remove the eye. This is called enucleation.
This is not needed for all retinoblastomas. They eye socket and eye are replaced with
an implant and artificial eye.
Chemotherapy. Anti-cancer medicines may be given into a vein (IV), by mouth (systemic), or directly
into an artery that feeds the eye. The medicines may reduce the size of the tumor
so that other treatments can work better.
Radiation therapy. Radiation may be used when another treatment doesn’t work well enough. Internal radiation
(brachytherapy) may be done. A small container (plaque) with radioactive material
is placed on the eye near the tumor. The plaque is placed and removed during surgery. This
may be used to treat some smaller tumors.
Thermotherapy. Laser light is used to destroy cancer cells. This may be used for some small tumors.
Or, it may be used with chemotherapy or radiation for larger tumors.
Cryotherapy. A tool is used to freeze and kill the cancer cells.
Supportive care. Treatment can cause side effects. Medicines and other treatments can be used for
pain, fever, infection, and nausea and vomiting.
Clinical trials. Ask your child's healthcare provider if there are any treatments being tested that
may work well for your child.
With any cancer, how well a child is expected to recover (prognosis) varies. Keep
Getting medical treatment right away is important for the best prognosis. Cancer that
has spread may involve much more treatment.
Ongoing follow-up care during and after treatment is needed.
New treatments are being tested to improve outcome and to lessen side effects.
What are possible complications of retinoblastoma in a child?
A child may have complications from the cancer or from treatment, such as:
Spreading of the cancer (metastasis)
Loss of eyesight
Side effects of chemotherapy such as tiredness, bruising and bleeding, mouth sores,
infections, vomiting, and diarrhea
Bleeding or infection from surgery
Growth of other cancers
How can I help my child live with retinoblastoma?
You can help your child manage their treatment in many ways. For example:
Your child may have trouble eating. A dietitian may be able to help.
Your child may be very tired. They will need to balance rest and activity. Encourage
your child to get some exercise. This is good for overall health. And it may help
to lessen tiredness.
Get emotional support for your child. Find a counselor or child support group.
Make sure your child attends all follow-up appointments.
A child with retinoblastoma needs ongoing care. Your child will be cared for by a
team of healthcare providers. They will treat any late effects of treatment and to
watch for signs or symptoms of the tumor growing back. The healthcare providers will
also monitor your child with imaging and other types of tests.
Note: If your child has an implant and artificial eye, they should wear protective eyewear
during activities that may harm the eye.
Family members may want to see a genetic counselor to learn more about the risk for
When should I call my child’s healthcare provider?
Call the healthcare provider or get medical help right away if your child has:
Key points about retinoblastoma in children
Retinoblastoma is a rare cancer of the retina of the eye. The retina is a specialized
group of nerve cells located in the back of the eye. These light sensing cells are
connected to the brain and optic nerve which allows sight.
The cancer may be passed on from parents (inherited) or it may occur by chance (sporadic).
The most common symptoms are an abnormal white reflection from the retina (leukocoria)
and misaligned eyes (strabismus).
It’s diagnosed by a dilated indirect ophthalmoscopic exam.
In the U.S., the prognosis for most children with retinoblastoma is very good.
There are many treatments for retinoblastoma including surgery, chemotherapy, radiation
therapy, laser therapy, and cryotherapy.
Tips to help you get the most from a visit to your child’s healthcare provider:
Know the reason for the visit and what you want to happen.
Before your visit, write down questions you want answered.
At the visit, write down the name of a new diagnosis, and any new medicines, treatments,
or tests. Also write down any new instructions your provider gives you for your child.
Know why a new medicine or treatment is prescribed and how it will help your child.
Also know what the side effects are.
Ask if your child’s condition can be treated in other ways.
Know why a test or procedure is recommended and what the results could mean.
Know what to expect if your child does not take the medicine or have the test or procedure.
If your child has a follow-up appointment, write down the date, time, and purpose
for that visit.
Know how you can contact your child’s provider after office hours. This is important
if your child becomes ill and you have questions or need advice.
Online Medical Reviewers:
- Adam Levy MD
- L Renee Watson MSN RN
- Rita Sather RN