Effect on ocular survival of adding early intensive focal treatments to a two-drug chemotherapy regimen in patients with retinoblastoma

Am J Ophthalmol. 2005 Sep;140(3):397-406. doi: 10.1016/j.ajo.2005.03.037.


Purpose: To evaluate vincristine and carboplatin with intensive focal treatments in the management of intraocular retinoblastoma.

Design: Noncomparative, retrospective interventional case series.

Setting: Institutional.

Patient population: Sixteen patients (11 bilateral, 5 unilateral) with intraocular retinoblastoma. Interventional procedures: Patients were treated with eight courses of vincristine and carboplatin. Intensive focal treatments were administered after two courses of chemotherapy.

Main outcome measures: Avoidance of external beam radiotherapy (EBRT) and eye survival.

Results: Twenty eyes (74.1%) were classified as Reese-Ellsworth Group V. All eyes responded to chemotherapy. With a median follow-up of 23 months (range 10 to 33 months) and a median of 5.5 focal treatments per eye (range 0 to 19 treatments), ocular survival was 81%. Eight eyes (30%) in five patients received EBRT.

Conclusions: Vincristine and carboplatin combined with intensive focal treatments is an effective regimen for patients with intraocular retinoblastoma. This treatment regimen has outcomes comparable to those of more toxic regimens and merits further evaluation.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Brachytherapy*
  • Carboplatin / administration & dosage
  • Combined Modality Therapy
  • Cryotherapy*
  • Disease-Free Survival
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Iodine Radioisotopes / therapeutic use
  • Laser Coagulation*
  • Male
  • Retinal Neoplasms / drug therapy
  • Retinal Neoplasms / radiotherapy
  • Retinal Neoplasms / surgery
  • Retinal Neoplasms / therapy*
  • Retinoblastoma / drug therapy
  • Retinoblastoma / radiotherapy
  • Retinoblastoma / surgery
  • Retinoblastoma / therapy*
  • Retrospective Studies
  • Treatment Outcome
  • Vincristine / administration & dosage


  • Iodine Radioisotopes
  • Vincristine
  • Carboplatin