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Each year, the Childhood Eye Cancer Trust reports back on families’ experiences of being diagnosed with retinoblastoma (Rb) in the UK: the symptoms they noticed; the healthcare professionals they saw; and how long it took them to reach one of the specialist Rb centres (Birmingham Women’s & Children’s Hospital, BCH, or the Royal London Hospital, RLH).  

By recording and reporting this information, we can identify where problems are occurring, and what CHECT may be able to do to help. 

2024 round-up 

Overall 44 children from the UK were diagnosed with retinoblastoma in 2024, and we have information from 38 of these families (screening families are not included in this survey). So what were families’ experiences in 2024, and also compared to the 10-year average from 2015-2024?  

1. Previous awareness of retinoblastoma (2024)
A circular infographic shows a clock icon in the center, divided into two segments. The left segment is labeled "20% ten year average" and is shaded light blue, representing data from 2015–2024. The right segment is labeled "24% in 2024" and is shaded dark blue, showing a slight increase in awareness. A note states this is based on information from 38 children diagnosed in 2024, as collected by CHECT.

As usual, a white glow spotted in the eye was the most common symptom overall. In 2024 two thirds of parents (more than the 10-year average) noticed a white glow in their child’s eye, 26% noticed it in a photograph, and 26% reported their child had developed a new squint (parents may report more than one symptom).

 Reported symptoms of retinoblastoma during 2024
A horizontal bar chart illustrates the frequency of symptoms reported among 38 children diagnosed with retinoblastoma in 2024. "White eye not in photo" leads at 66%, followed by "Squint" and "White eye in a photo" both at 26%. Other symptoms include "Other" (8%), "Change in iris colour" (5%), "Redness or swelling" (5%), "Roaming eye/Eyes not focusing" (3%), "Absence of red eye" (3%), and "Loss of vision" (0%). A note clarifies that more than one symptom may be present per case.

As is usual, GPs were the first port of call for most concerned families, followed by opticians and then health visitors. 

Urgent referrals by healthcare professionals (2024)
A horizontal bar chart displays the percentage of urgent referrals made by different healthcare professionals who saw children with retinoblastoma in 2024. Opticians and A&E departments each referred 75% of cases urgently, while GPs referred 54%. Each category is accompanied by a relevant icon (e.g., optician, hospital, doctor). Data is based on information from 38 diagnosed children.

Compared with the ten-year average figures, more GPs and opticians made appropriate referrals when they saw children with retinoblastoma in 2024.  

 Infographic showing data on children diagnosed with retinoblastoma through urgent referrals. The title reads, "Number of children diagnosed with retinoblastoma following urgent referral." A central clock graphic is split into two segments. On the left, it says "53% ten year average of urgent referrals." On the right, it states "61% urgent referrals in 2024." A note at the bottom mentions the data is based on 38 children diagnosed in 2024, provided by CHECT (Childhood Eye Cancer Trust). The website www.chect.org.uk is listed, and the CHECT logo appears in the bottom right.

As a result, 61% of children were diagnosed at one of the specialist retinoblastoma centres within two weeks of first reporting symptoms to a healthcare professional, which is a significant improvement on the 10-year average of 53%. However, 8% waited more than six months, which is clearly unacceptable. 

Thank you so much to everyone who took part in the 2024 Pathways to Diagnosis survey – it really is so important for us to keep monitoring this information.