A 5 year old boy presented with leukocoria in right eyeball diagnosed to be retinoblastoma involving full eyeball, while other eye had 2–3 small lesions in the periphery. What will be the ideal management for this patient ?: (A) Enucleation of both eyes, (B) Enucleation of right eye & conservative management of the other eye, (C) Enucleation of right eye and focal therapy of the other eye, (D) 6 cycles of chemotherapy
Answer is C. When vision cannot be saved in both the eye :-
Enucleation of more affected one.
Chemotherapy + local destruction for less affected eye.