Retinoblastoma: Promoting Early Diagnosis Dr. Njambi Ombaba - - PowerPoint PPT Presentation

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Retinoblastoma: Promoting Early Diagnosis Dr. Njambi Ombaba - - PowerPoint PPT Presentation

Mar 26, 2023 197 likes •382 views

Retinoblastoma: Promoting Early Diagnosis Dr. Njambi Ombaba Objectives Overview of the clinical presentation and treatment of retinoblastoma Understand causes of late presentation Outline ways of enhancing early diagnosis of

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Retinoblastoma: Promoting Early Diagnosis

  • Dr. Njambi Ombaba
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Objectives

 Overview of the clinical presentation and

treatment of retinoblastoma

 Understand causes of late presentation  Outline ways of enhancing early diagnosis

  • f childhood eye problems
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Outline

 Introduction  Clinical presentation and management  Reasons for late diagnosis  How to enhance early diagnosis and

referral

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Introduction

  • Childhood genetic, eye cancer arising

from the retina

  • Typically occurs before 5 years of age
  • 60% unilateral; 40% bilateral; Rarely

trilateral

  • 10% Family history
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Presentation

Strabismus 25% Ocular inflammation 10% Proptosis 50% White reflex 60%

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Management

 Early diagnosis- key to cure  High cure rate > 90 % if treated early  Late presentation with metastasis - 100%

mortality

 Standard treatment is enucleation

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Other treatments

  • Focal laser/ cryotherapy : small tumours
  • Chemotherapy/ Radiotherapy

Extra ocular and metastatic disease

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Role of Counseling

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Reasons for late Presentation1

Late diagnosis

Late arrival Missed diagnosis Complex referral system

  • Accessibility
  • Financial
  • Cultural
  • Ignorance
  • Ignorance
  • Dismiss parents

concern

  • Lost follow up
  • Failure to track

patients

  • Accessibility
  • No direct referrals
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Enhancing early diagnosis

Raise awareness

  • Posters
  • Childhood

blindness booklet

  • RB Guidelines

MCH booklet

  • Eye section

Direct referrals

  • Health facility

with an

  • phthalmologist
  • Daisy Cancer

Fund

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Awareness

Posters Guidelines

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The MCH booklet

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The eye section

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Other Childhood Eye Problems

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Utilization of eye section

0.8%

T

  • demanding

Not trained Print too small Shortage

  • f staff
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Way forward

Attitude Change; We can do it!

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Summary

 Early diagnosis key to cure in

retinoblastoma

 Any child with suspected eye problem

need review by ophthalmologist

 Better utilization of MCH booklet to

improve early detection

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Thank you