Retinoblastoma

Question 1

what does a retinoblastoma look like in the eye?

Answer 1

light hits retina & bounces off of it

looks like a cat’s eye

Question 2

are retinoblastoma’s unilateral or bilateral?

Answer 2

both

Question 3

prognosis of retinoblastoma

Answer 3

good if treated early

Question 4

when is retinoblastoma usually diagnosed?

Answer 4

usually before 3

Question 5

retinoblastoma history

Answer 5

-fam hx of retinoblastoma
-eye pain
-poor vision

Question 6

retinoblastoma physical findings

Answer 6

-leukocoria (cat’s eye reflex)
-strabismus
-erythema
-orbital inflammation & swelling

Question 7

retinoblastoma diagnostic testing

Answer 7

-imaging
-lumbar puncture, bone marrow aspiration & biopsy identify possible metastasis

Question 8

retinoblastoma clinical therapy

Answer 8

-early detection allowing for treatment that promotes vision sparing therapy, internal or external
-chemo after surgery, if the rumor has spread to surrounding tissues or the eye socket
-stem cell transplant when the tumor invades the brain or bone marrow

Question 9

nursing care of retinoblastoma

Answer 9

-provide support to the child & family
-encourage the parents or caregivers to use positive coping strategies
-cluster nursing care
-provide small, frequent feedings as appropriate
-assist with measure to promote vision
-assist with measures to control the adverse effects of chemo
-adhere to radiation precautions