Clinical Aspects Diagnosis

Diagnosis of retinoblastoma is usually made in children under the age of 5 years. In most children, the first presenting sign is a white pupillary reflex (leukocoria) or strabismus. Diagnosis of retinoblastoma is usually established by examination of the fundus of the eye using indirect ophthalmoscopy. Most children have retinoblas-toma in one eye only (unilateral retinoblastoma, 60% of cases).[1] Occasionally, multiple tumor foci are present in one eye (unilateral multifocal retinoblastoma). About 40% of children with retinoblastoma have tumors in both eyes (bilateral retinoblastoma). Most patients with bilateral retinoblastoma have more than one tumor focus per eye (bilateral multifocal retinoblastoma).

Getting Started With Dumbbells

Getting Started With Dumbbells

The use of dumbbells gives you a much more comprehensive strengthening effect because the workout engages your stabilizer muscles, in addition to the muscle you may be pin-pointing. Without all of the belts and artificial stabilizers of a machine, you also engage your core muscles, which are your body's natural stabilizers.

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