Pseudoretinoblastoma: Distribution based on gender, age, and laterality
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Date
2023
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Abstract
Purpose: To investigate the distribution of pseudoretinoblastoma (PSRB) cases based on gender, age, and laterality Materials and Methods: The clinical records of 607 patients (851 eyes) who were referred for diagnosis of retinoblastoma or simulating conditions between October 1998 and May 2021 were retrospectively evaluated. Patients were stratified by age as follows: ≤1 year, >1–3 years, >3–5 years, and >5 years. Results: Of 190/607 PSRB patients, 129 (67.9%) were males and 61 (32.1%) females (p = 0.001). The 3 most common diagnoses in males were Coats disease (20.2%), persistent fetal vasculature (PFV, 14.0%), and chorioretinal coloboma (6.2%). In females, the 3 most common diagnoses included PFV (21.3%), retinal dysplasia, congenital glaucoma, and combined hamartoma (each 6.6%). PFV was the most common diagnosis in ≤1 year old patient group (26.6%). Coats disease and PFV were the most common diagnoses in >1–3 years old patient group (each 16.7%). Coats disease was the most common diagnosis in >3–5 years old (30.8%) and >5 years old patient groups (13.1%). PSRBs were unilateral in 121/190 (63.7%) patients. Coats disease usually presented unilaterally (p < 0.001) while PFV, optic nerve head drusen, and retinopathy of prematurity as bilateral diseases (p = 0.019, p = 0.001, and p = 0.001 respectively). Discussion: PSRB diagnoses show differences depending on gender, age, and laterality. In our study, the most common PSRB lesions were Coats disease in males and PFV in females. PFV was the most frequent diagnosis in ≤3 years and Coats disease in >3 years of age groups. Coats disease and PFV were the most common unilateral and bilateral PSRB diagnoses respectively. © The Author(s) 2022.
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Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Retinal Neoplasms , Retinal Telangiectasis , Retinoblastoma , Retrospective Studies , Vitreous Body , Article , biomicroscopy , child , coloboma , computer assisted tomography , congenital cataract , congenital glaucoma , dysplasia , echography , exudative retinitis , eye examination , familial exudative vitreoretinopathy , female , fluorescence angiography , hamartoma , hemispheric dominance , human , intraocular pressure , leukokoria , major clinical study , male , nuclear magnetic resonance imaging , ophthalmoscopy , optic nerve , optical coherence tomography , photography , retina detachment , retinoblastoma , retrolental fibroplasia , retrospective study , strabismus , vascularization , case report , infant , newborn , pathology , preschool child , retina tumor , retinal telangiectasia , retinoblastoma , vitreous body