Evaluation of the role of ultrasound biomicroscopy in advanced retinoblastoma: A prospective study on Asian Indian children

• Published in: Ophthalmic genetics 2020-03, Vol.41 (2), p.125-130
• Main Authors: Chawla, Bhavna, Bhaskaran, Karthika, Dada, Tanuj, Bajaj, Mandeep S, Kashyap, Seema, Shende, Dilip
• Format: Article
• Language: English
• Subjects: Child, Preschool; Female; Humans; India - epidemiology; Male; Microscopy, Acoustic - methods; Prospective Studies; Retinal Neoplasms - diagnostic imaging; Retinal Neoplasms - epidemiology; Retinal Neoplasms - pathology; Retinoblastoma - diagnostic imaging; Retinoblastoma - epidemiology; Retinoblastoma - pathology
• ISSN: 1381-6810; 1744-5094
• DOI: 10.1080/13816810.2020.1737946

: To evaluate the role of ultrasound biomicroscopy (UBM) in retinoblastoma (RB). : Children with advanced unilateral RB were included. UBM was performed to look for tumour invasion into the anterior segment (AS) and for evaluation of quantitative parameters. Enucleation was done and UBM findings were correlated with histopathology. The main outcome measures were sensitivity and specificity of UBM for detecting AS invasion and comparison of quantitative parameters between the tumour affected and fellow eyes. : Fifty patients were evaluated. The mean age was 2.76 ± 1.63 years. Enucleation was performed in 50 eyes. The sensitivity and specificity of UBM for AS invasion were 80% (95% CI, 44-97%) and 95% (95% CI, 83-99%), respectively. UBM showed a sensitivity and specificity of 100% (95% CI, 59-100%) and 95% (95% CI, 84-99%), respectively, for iris invasion, 88% (95% CI, 47-100%) and 100% (95% CI, 92-100%), respectively, for ciliary body invasion, and 63% (95% CI, 24-91%) and 100% (95% CI, 92-100%), respectively, for anterior chamber (AC) angle invasion. Quantitative parameters were studied in 100 eyes. As compared to the fellow eyes, the AC angle was narrow (