Visual rehabilitation for children with retinoblastoma can be challenging. These children have unique problems that are uncommon in most pediatric ophthalmology patients. It is important to remember that these patients are either undergoing active treatment, which can be arduous for both the child and the family or they are cancer survivors, having already dealt with a long period of treatment-related issues. When proposing therapeutic options, one must consider the child as a whole. For example, is the child so sick from chemotherapy that nausea and vomiting make patching unrealistic? Is the retinal pathology, from both the tumor and the treatment, so extensive that the visual potential is questionable, and therefore patching may or may not be of any benefit? Is the child complaining that the glasses prescribed make everything smaller, and therefore does not want to wear them? These and other questions should be considered and discussed with the family. Care should be individualized, and every attempt should be made to maximize the patient’s vision, as well as to facilitate his or her access to low vision aids and services.
KeywordsCataract Surgery Strabismus Operation Visual Rehabilitation Retinal Pathology Posterior Capsular Opacification
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