Intra-arterial chemotherapy in retinoblastoma – A paradigm change

Intra-arterial chemotherapy (IAC), also known as superselective ophthalmic artery chemotherapy or chemosurgery, is currently widely accepted as one of the primary treatment modalities for intraocular retinoblastoma worldwide. Following the introduction of the technique in 1998, IAC has evolved over...

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Main Authors: Fairooz P Manjandavida, Christina Stathopoulos, Jing Zhang, Santhosh G Honavar, Carol L Shields
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=6;spage=740;epage=754;aulast=Manjandavida
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author Fairooz P Manjandavida
Christina Stathopoulos
Jing Zhang
Santhosh G Honavar
Carol L Shields
author_facet Fairooz P Manjandavida
Christina Stathopoulos
Jing Zhang
Santhosh G Honavar
Carol L Shields
author_sort Fairooz P Manjandavida
collection DOAJ
description Intra-arterial chemotherapy (IAC), also known as superselective ophthalmic artery chemotherapy or chemosurgery, is currently widely accepted as one of the primary treatment modalities for intraocular retinoblastoma worldwide. Following the introduction of the technique in 1998, IAC has evolved over the past decades to be safer and more effective. Accumulated evidence shows that IAC is more effective in providing eye salvage in group D and E retinoblastoma as compared to conventional systemic intravenous chemotherapy (IVC). In contrast to IVC, IAC has the added benefits of reduced overall treatment duration and minimal systemic toxicity. This review provides a comprehensive update on the history, technique, indications, contraindications, and outcome of IAC. We have also identified the strengths, weaknesses, opportunities and threats (SWOT analysis) of the technique in this review.
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spelling doaj.art-3eb1b0b5dc5c44908322b287cdc469122022-12-22T01:45:34ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892019-01-0167674075410.4103/ijo.IJO_866_19Intra-arterial chemotherapy in retinoblastoma – A paradigm changeFairooz P ManjandavidaChristina StathopoulosJing ZhangSanthosh G HonavarCarol L ShieldsIntra-arterial chemotherapy (IAC), also known as superselective ophthalmic artery chemotherapy or chemosurgery, is currently widely accepted as one of the primary treatment modalities for intraocular retinoblastoma worldwide. Following the introduction of the technique in 1998, IAC has evolved over the past decades to be safer and more effective. Accumulated evidence shows that IAC is more effective in providing eye salvage in group D and E retinoblastoma as compared to conventional systemic intravenous chemotherapy (IVC). In contrast to IVC, IAC has the added benefits of reduced overall treatment duration and minimal systemic toxicity. This review provides a comprehensive update on the history, technique, indications, contraindications, and outcome of IAC. We have also identified the strengths, weaknesses, opportunities and threats (SWOT analysis) of the technique in this review.http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=6;spage=740;epage=754;aulast=ManjandavidaRetinoblastomaintra-arterial chemotherapyselective ophthalmic artery chemotherapysuperselective ophthalmic artery chemotherapychemosurgery
spellingShingle Fairooz P Manjandavida
Christina Stathopoulos
Jing Zhang
Santhosh G Honavar
Carol L Shields
Intra-arterial chemotherapy in retinoblastoma – A paradigm change
Indian Journal of Ophthalmology
Retinoblastoma
intra-arterial chemotherapy
selective ophthalmic artery chemotherapy
superselective ophthalmic artery chemotherapy
chemosurgery
title Intra-arterial chemotherapy in retinoblastoma – A paradigm change
title_full Intra-arterial chemotherapy in retinoblastoma – A paradigm change
title_fullStr Intra-arterial chemotherapy in retinoblastoma – A paradigm change
title_full_unstemmed Intra-arterial chemotherapy in retinoblastoma – A paradigm change
title_short Intra-arterial chemotherapy in retinoblastoma – A paradigm change
title_sort intra arterial chemotherapy in retinoblastoma a paradigm change
topic Retinoblastoma
intra-arterial chemotherapy
selective ophthalmic artery chemotherapy
superselective ophthalmic artery chemotherapy
chemosurgery
url http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=6;spage=740;epage=754;aulast=Manjandavida
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AT christinastathopoulos intraarterialchemotherapyinretinoblastomaaparadigmchange
AT jingzhang intraarterialchemotherapyinretinoblastomaaparadigmchange
AT santhoshghonavar intraarterialchemotherapyinretinoblastomaaparadigmchange
AT carollshields intraarterialchemotherapyinretinoblastomaaparadigmchange