[Angioarchitecture of small retinoblastomas: the role of optical coherence tomography angiography]. / Angioarkhitektonika malykh retinoblastom: rol' opticheskoi kogerentnoi tomografii-angiografii.

Optical coherence tomography angiography (OCTA) is a non-invasive diagnostic method used in children and adults. Features of angioarchitecture of small retinoblastoma are not sufficiently covered. PURPOSE: The study investigated the angioarchitecture of small retinoblastomas using OCTA. MATERIAL AND METHODS: The study included 10 children with binocular retinoblastoma aged 2.7±0.5 months with small tumors of central localization (10 foci). The tumors were divided into 3 groups: group 1 (n=4) - tumor thickness 0.8±0.2 mm; group 2 (n=3) - 1.6±0.5 mm; group 3 (n=3) - 2.4±0.8 mm. OCTA was performed on Spectralis HRA+OCT (2460 scans in total). Vessels were identified in the superficial, deep and outer layers of the tumor on En Face images. Their average number was estimated by visualization of yellow pixels in the superficial layers on 10 sagittal sections. Statistical analysis was done using Microsoft Excel, Statistica 8.0. The Kruskal-Wallis H test was used for comparative analysis of independent variables with more than two samples. RESULTS: Retinal vessels with feeding anastomoses connecting them to multiple small tortuous tumor vessels in the superficial layers were identified in group 1. Number of yellow pixels - 16.5±0.5. In the deep layers - single chaotic vascular arcades. In flat small retinoblastomas the vascular component was not evaluated. In group 2 in the superficial layers of the tumor we found multiple geniculate vessels of large and small caliber anastomosing between themselves and the retinal vessels. Number of yellow pixels was 21±0.8. A few vessels were identified in the deep and outer layers. In group 3 we identified single convoluted vessels in the superficial layers with glow and quantity increasing in the deep layers. In the deep layers - emergence of a small number of vessels. The maximum number of multiple own tumor vessels was determined in the outer layers. Number of yellow pixels - 10±0.8. CONCLUSION: The obtained results confirm the possibility to preclinically identify the angioarchitecture of small retinoblastomas in order to determine the activity of tumor growth and serve as a marker of neoplasm regression in the future, after organ-preserving treatment.

[The first experience of using OCT in diagnosis of primary and residual retinoblastoma].

21 children with retinoblastoma (32 eyes, 36 lesions) were examined using optical coherence tomography (OCT). Pathognomonic features of initial primary exophytic, endophytic and mixed retinoblastoma were revealed OCT-control allowed to estimate combined treatment efficacy (chemotherapy, brachytherapy, transpupillary thermotherapy) and to reveal signs of latent growth. Thus revealed OCT signs of primary, residual retinoblastoma, retinal scar, zones of latent growth allow early estimation of appropriateness of combined eye-preserving treatment.

[Small retinoblastoma: early diagnosis and combined eye-preserving treatment].

The presented review devoted to early diagnosis and combined eye-preserving treatment of small retinoblastoma emphasizes significance of using optical coherence tomography and transpupillary thermotherapy in malignant retinal tumors along with other options.