Suárez Baraza J, García González J, Calzado Hinojosa J, Miralles de Imperial J
Servicio de Oftalmología II, Hospital Universitario Virgen de la Arrixaca, Cátedra de Oftalmología, Universidad de Murcia, Murcia, España.
Arch Soc Esp Oftalmol. 2003 Apr;78(4):215-8.
A thirty year-old-woman that had received radiotherapy three years before for a frontal glyoma consulted because of diminished visual acuity in her left eye. Examination showed a proliferative radiation retinopathy in the left eye and non-proliferative radiation retinopathy in the right eye that was confirmed by fluorescein angiography. The patient was treated with panretinal photocoagulation, and her visual acuity remained stable.
Patients receiving cranial or neck radiotherapy should be followed for long periods of time because radiation retinopathy may appear many years after the treatment. Follow-up may permit early diagnosis of ischemic radiation retinopathy that can benefit from laser photocoagulation.
一名30岁女性,三年前因额叶胶质瘤接受放疗,现因左眼视力下降前来咨询。检查发现左眼为增殖性放射性视网膜病变,右眼为非增殖性放射性视网膜病变,荧光素血管造影证实了这一诊断。该患者接受了全视网膜光凝治疗,视力保持稳定。
接受颅脑或颈部放疗的患者应长期随访,因为放射性视网膜病变可能在治疗多年后出现。随访有助于早期诊断缺血性放射性视网膜病变,而这种病变可通过激光光凝治疗获益。