Research Article

The Safety and Effectiveness of Melphalan-Based Intra-Arterial Chemotherapy for Retinoblastoma: An Updated Single-Arm Systematic Review and Meta-Analysis

Table 3

Complication.

ComplicationsNo. of eventsTotal eyesRateTotal patients

Ocular complications
Avascular retinopathy51580.032137
Arteriolar sclerosis2120.16711
Aseptic cellulitis2350.05729
Cataract122010.060165
Chorioretinal atrophy316260.050535
Choroidal occlusion5250.20021
Choroidal ischemia73410.021313
Conjunctiva chemosis1140.07114
Extraocular muscle paresis0240.00022
Internal carotid artery occlusion0240.00022
Loss of eyelashes211650.127143
Multinucleated macrophages in choroid and retina2120.16711
Neovascular glaucoma1260.03824
Neovascularisation553660.150338
Oculomotor nerve palsy2350.05729
Ophthalmic artery occlusion0240.00022
Occlusive vasculopathy222760.080232
Optic nerve disorder2240.08315
Ophthalmoplegia101230.081121
Phthisis71320.053112
Ptosis253660.068330
Periocular edema10710190.105829
Palpebral oedema22740.29768
Palpebral erythema1250.04025
Periorbital pigmentation1350.02929
Retinopathy8250.32025
Retinal atrophy2120.16711
Retinal detachment281580.177148
Retinal ischemia133410.038313
Retinal artery precipitation6790.07670
Strabismus3540.05660
Vitreous hemorrhage554480.123366
Vascular spasm2250.08021

Systemic complications
Anaphylaxis30.03977
Bronchospasm340.062549
Cardiorespiratory disturbances40.16025
Fever470.081579
Groin hematoma10.06715
Limb ischemia00.000349
Neutropenia70.10964
Nausea/vomiting1150.209549
Stroke20.002846
Transfusion10.001680
Thromboembolism00.00014
Vascular dissection00.000313
Vasospasm20.08025