小结
定义
病史和体格检查
关键诊断因素
- 年龄＜3 岁
- 白瞳症（瞳孔白色反光）
- 斜视
- 阳性家族史
- 假性眼眶蜂窝织炎
- 13q 综合征
其他诊断因素
- 视觉障碍
- 眼痛
- 松果体瘤
危险因素
- RB1 基因突变
- HPV 病毒感染
- 高父龄
诊断性检查
首要检查
- 眼底检查和麻醉下检查
- 广视野眼底照相和频域光学相干断层扫描 (sdOCT)
- 眼部A 型和 B 型超声扫描
需考虑的检查
- 基因检测
- 头部/眼眶 MRI
- 骨髓穿刺
- 腰椎穿刺：
治疗流程
伴玻璃体种植
不伴玻璃体种植
转移性疾病
复发
撰稿人
作者
Timothy G. Murray, MD, MBA, FACS
Founding Director/CEO
Murray Ocular Oncology and Retina
Miami
FL
利益声明
TGM is an author of a number of references cited in this topic.
Victor M. Villegas, MD
Ocular Oncologist
Associate Professor
Department of Ophthalmology
University of Puerto Rico
Associate Professor
Department of Surgery
Ponce Health Sciences University School of Medicine
Voluntary Faculty
Bascom Palmer Eye Institute
University of Miami
Miami
FL
利益声明
VMV is an author of a reference cited in this topic.
鸣谢
Dr Timothy G. Murray and Dr Victor M. Villegas would like to gratefully acknowledge Dr Amy C. Schefler, a previous contributor to this topic, and Dr Steven Houston, III, MD for his contribution to the topic.
利益声明
ACS is an author of a number of references cited in this topic. SH declares that he has no competing interests.
同行评议者
Susan Schneider, MD
Director
Pharmaceutical Clinical & Scientific Affairs
Bausch & Lomb
Rochester
NY
利益声明
SS declares that she has no competing interests.
Francis Munier, MD
Professor and Head of Pediatric Ocular Oncology Unit
Jules Gonin Eye Hospital
Lausanne
Switzerland
利益声明
FM declares that he has no competing interests.
鉴别诊断
- Coats 病（渗出性视网膜炎或视网膜毛细血管扩张症）
- 永存胎儿血管症（之前称为永存原始玻璃体增生症）
- 早产儿视网膜病变 (ROP)
更多 鉴别诊断指南
- 视网膜母细胞瘤风险儿童筛查
- 小儿眼科评估 PPP
更多 指南
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