Pediatric Hematology Oncology Journal (Oct 2016)

Vincristine induced cortical blindness: An alarming but reversible side effect

  • Sidharth Totadri,
  • Amita Trehan

DOI
https://doi.org/10.1016/j.phoj.2016.11.001
Journal volume & issue
Vol. 1, no. 3
pp. 61 – 62

Abstract

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Vincristine is one of the commonest chemotherapeutic agents in the practice of pediatric oncology. Although peripheral neuropathy is a dose limiting adverse event, blindness secondary to vincristine is seldom reported. We describe a child with Wilms tumor who developed transient visual loss after administration of vincristine. The child underwent early surgery and vincristine was re-introduced at reduced doses and gradually escalated to full dose while closely monitoring for recurrence. Blindness is a distressing adverse event, and re-exposure to the offending agent involves a conscientious decision.

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