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Semin Ophthalmol ; 39(5): 369-375, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38329101

RESUMEN

PURPOSE: To examine whether children treated for Retinoblastoma (Rb) have impaired orbital development. METHODS: A retrospective case series was performed among children with Rb treated at a single medical center from 2004 to 2020. Orbital volumes and measurements were assessed by 3-dimensional image processing software. The main outcome measures were differences in orbital growth between Rb and non-Rb eyes assessed at last follow-up. RESULTS: Among 44 patients included (mean age 16.09 ± 18.01 months), a positive correlation between age and orbital volume was observed only in the uninvolved, healthy eyes (p = .03). In unilateral cases, orbital growth in the horizontal, vertical, and depth planes was smaller on the affected side compared to the healthy eyes (p < .05). Orbits that underwent enucleation showed decreased growth over time compared to those treated conservatively (p = .017). CONCLUSIONS: Orbital growth rate is slower in the orbits of children treated for Rb compared to healthy orbits. Enucleation negatively affects orbital growth.


Asunto(s)
Órbita , Neoplasias de la Retina , Retinoblastoma , Humanos , Retinoblastoma/diagnóstico por imagen , Retinoblastoma/patología , Estudios Retrospectivos , Masculino , Femenino , Neoplasias de la Retina/cirugía , Neoplasias de la Retina/diagnóstico por imagen , Órbita/diagnóstico por imagen , Órbita/crecimiento & desarrollo , Lactante , Preescolar , Tomografía Computarizada por Rayos X , Enucleación del Ojo , Imagenología Tridimensional , Estudios de Seguimiento , Imagen por Resonancia Magnética/métodos
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