학술논문

Intra-arterial chemotherapy in retinoblastoma – A paradigm change
Document Type
article
Source
Indian Journal of Ophthalmology, Vol 67, Iss 6, Pp 740-754 (2019)
Subject
Retinoblastoma
intra-arterial chemotherapy
selective ophthalmic artery chemotherapy
superselective ophthalmic artery chemotherapy
chemosurgery
Ophthalmology
RE1-994
Language
English
ISSN
0301-4738
1998-3689
Abstract
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.