{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:22:21Z","timestamp":1792027341201,"version":"4.4.0"},"reference-count":21,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Ophthalmol"],"accepted":{"date-parts":[[2025,8,4]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Retinoblastoma is the most common intraocular tumour in children. This study aimed to assess the visual outcomes and risk factors leading to visual impairment in children with retinoblastoma in the Indian population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a single-centre retrospective analysis of all patients with unilateral or bilateral retinoblastoma presenting from the year 2014 to mid-2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 426 eyes in 306 patients were included in the study. 240 (78.43%) had unilateral macular tumours, while 45 (14.71%) had bilateral macular tumours. 29 (24.17%) patients were classified as visually impaired, and 22 (18.33%) patients were legally blind. The visual impairment and legal blindness observed in groups D and E (55.18% vs 68.18%) was statistically significant compared with groups A\u2013C, with a p value of &lt;0.05. Visual impairment and legal blindness were noted in only 27.59% and 0.05% of patients without macular tumours. Three patients had motor and speech delay. Out of 120 patients with bilateral tumour, 45 successfully underwent occlusion therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Macular involvement and late-stage presentation were major predictors of poor vision. This study underscores the importance of early diagnosis and treatment, and improved access to paediatric vision screening and visual rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bjo-2025-327687","type":"journal-article","created":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T17:20:23Z","timestamp":1755537623000},"page":"89-93","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Visual outcomes in retinoblastoma: an analysis of 426 eyes in an Indian cohort"],"prefix":"10.1136","volume":"110","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5658-631X","authenticated-orcid":false,"given":"Abhishek","family":"Das","sequence":"first","affiliation":[{"name":"Pediatric Retina and Ocular Oncology, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parag K","family":"Shah","sequence":"additional","affiliation":[{"name":"Pediatric Retina and Ocular Oncology, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sajini","family":"Panthalodi","sequence":"additional","affiliation":[{"name":"Pediatric Retina and Ocular Oncology, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prema","family":"Subramaniam","sequence":"additional","affiliation":[{"name":"Pediatric Retina and Ocular Oncology, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narendran","family":"Venkatapathy","sequence":"additional","affiliation":[{"name":"Pediatric Retina and Ocular Oncology, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,8,18]]},"reference":[{"key":"2025121502150586000_110.1.89.1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2008.138750"},{"key":"2025121502150586000_110.1.89.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2007.12.014"},{"key":"2025121502150586000_110.1.89.3","doi-asserted-by":"publisher","DOI":"10.1001\/archophthalmol.2011.150"},{"key":"2025121502150586000_110.1.89.4","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2011-301450"},{"key":"2025121502150586000_110.1.89.5","doi-asserted-by":"publisher","DOI":"10.1159\/000453617"},{"key":"2025121502150586000_110.1.89.6","first-page":"3","article-title":"The focal treatment of retinoblastoma with emphasis on xenon arc photocoagulation","volume":"194","author":"Abramson","year":"1989","journal-title":"Acta Ophthalmol Suppl (1985)"},{"key":"2025121502150586000_110.1.89.7","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_721_20"},{"key":"2025121502150586000_110.1.89.8","doi-asserted-by":"crossref","unstructured":"Munier FL , Beck-Popovic M , Chantada GL , et al . Conservative management of retinoblastoma: Challenging orthodoxy without compromising the state of metastatic grace. \u201cAlive, with good vision and no comorbidity. Prog Retin Eye Res 2019;100764. doi:10.1016\/j.preteyeres.2020.100857","DOI":"10.1016\/j.preteyeres.2020.100857"},{"key":"2025121502150586000_110.1.89.9","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1038\/s41433-021-01845-y","article-title":"Retinoblastoma and vision","volume":"37","author":"Warda","year":"2023","journal-title":"Eye (Lond)"},{"key":"2025121502150586000_110.1.89.10","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.24303"},{"key":"2025121502150586000_110.1.89.11","doi-asserted-by":"crossref","first-page":"1034","DOI":"10.1007\/s12094-016-1482-4","article-title":"Long-term visual outcomes in intraocular retinoblastoma with eye preservation","volume":"18","author":"Batra","year":"2016","journal-title":"Clin Transl Oncol"},{"key":"2025121502150586000_110.1.89.12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-9071.2012.02757.x"},{"key":"2025121502150586000_110.1.89.13","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1993.01090080096024"},{"key":"2025121502150586000_110.1.89.14","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2005.070045"},{"key":"2025121502150586000_110.1.89.15","doi-asserted-by":"publisher","DOI":"10.1017\/S0012162201002651"},{"key":"2025121502150586000_110.1.89.16","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1348\/026151008X310210","article-title":"Attentional processes in young children with congenital visual impairment","volume":"27","author":"Tadi\u0107","year":"2009","journal-title":"Br J Dev Psychol"},{"key":"2025121502150586000_110.1.89.17","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.20606"},{"key":"2025121502150586000_110.1.89.18","unstructured":"Mallipatna AC , Gallie BL , Ch\u00e9vez-Barrios P . Retinoblastoma. In: Amin MB , Edge SB , Greene FL , eds. AJCC cancer staging manual. 8th edn. 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