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Retinoblastoma is the most common intraocular tumor in children..IAC--Targeted Treatment for Intraocular Retinoblastoma,Is minimally invasive procedure that infuse chemotherapy select into the ophthalmic artery, its can increasing the drug concentration reaching the tumor and reducing systemic toxicity compared with traditional intravenous treatment.: one is Ballon technique , another is selective ophthalmic artery infusion.This study evaluates the difference of Ballon technique and selective ophthalmic artery infusion effect in the treatment of retinoblastoma. Half of participants will receive, Ballon technique while the other half will receive selective ophthalmic artery infusion
Delivering the chemotherapeutic agent in the arterial system through the ophthalmic artery transforms the treatment of retinoblastoma from systemic chemotherapy to local chemotherapy. Two alternative means can be used,The purpose of this study is to show that Ballon technique and SOAI delivered directly through the artery supplying the eye (ophthalmic artery) to patients with retinoblastoma is a safe and effective treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ballon Technique group | Experimental | Intervention:Ballon Technique |
|
| SOAI group | Active Comparator | Intervention:Selective Ophthalmic Artery Infusion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ballon Technique | Device | Ballon Technique |
| |
| SOAI |
| Measure | Description | Time Frame |
|---|---|---|
| Globe salvage rate (Eyes saved/Eyes treated) | Event defined as the need for external beam enucleation,To assess the saving of eyes affected with IAC for patients who would have been candidates for enucleation | Three years from intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Visual pathway function | Evaluation of visual pathway function will be measured composite using visual acuity, electroretinogram, visual evoked potential, and functional magnetic resonance imaging | Three years from intervention |
| complications |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| jing zhang | Contact | 136262828465 | fejr@foxmail.com |
| Name | Affiliation | Role |
|---|---|---|
| huiming xia | Guangzhou Women and Children's Medical Center | Study Director |
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| ID | Term |
|---|---|
| D012175 | Retinoblastoma |
| ID | Term |
|---|---|
| D018302 | Neoplasms, Neuroepithelial |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
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| Device |
SOAI |
|
Short and long term complications
| Three years from intervention |
| D009369 | Neoplasms |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009380 | Neoplasms, Nerve Tissue |
| D019572 | Retinal Neoplasms |
| D005134 | Eye Neoplasms |
| D009371 | Neoplasms by Site |
| D015785 | Eye Diseases, Hereditary |
| D005128 | Eye Diseases |
| D012164 | Retinal Diseases |