A 5yrs old boy presented with leucocoria in right eye ball diagnosed to be retinoblastoma involving full eyeball, while other eye had 2-3 small lesion 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. Ref: Yanoff & Ducker Ophthalmology 2nd/e p.1047.