Correa-Pérez María Encarnación, Saornil María Antonia, García-Álvarez Ciro, Martín Francisco Lopez-Lara, Frutos-Baraja Jesus María
Ophthalmology Department, Área de Gestión Sanitaria Norte de Almería, Hospital la Inmaculada, Huércal-Overa, Almería.
Intraocular Tumors Unit Referral National Health System Ophthalmology and Radiotherapy Department, Hospital Clinico Universitario Valladolid, Spain.
J Contemp Brachytherapy. 2013 Dec;5(4):250-7. doi: 10.5114/jcb.2013.38523. Epub 2013 Oct 28.
To describe the efficacy of episcleral brachytherapy in a choroidal melanoma and circumscribed hemangioma arising in both eyes of the same patient.
We present the case of a 47 year old man who presented decreased visual acuity a few months preceding initial consult. On fundoscopy, he presented a melanotic lesion in the right eye, and a red-orange choroidal mass in the macular area of the left eye.
B scan-ultrasound, fluorescein, and indocyanine green angiography, confirmed the diagnosis of choroidal melanoma in the right eye, and circumscribed choroidal hemangioma in the left eye. Episcleral brachytherapy with (125)I was performed in both eyes consecutively.
Bilateral episcleral brachytherapy successfully treated both tumors, preserving the eyes and useful visual function.
描述巩膜近距离放射疗法对同一患者双眼出现的脉络膜黑色素瘤和局限性血管瘤的疗效。
我们报告一例47岁男性患者，在初次就诊前几个月出现视力下降。眼底检查发现，其右眼有一黑色素病变，左眼黄斑区有一红橙色脉络膜肿物。
B超、荧光素和吲哚菁绿血管造影术确诊右眼为脉络膜黑色素瘤，左眼为局限性脉络膜血管瘤。双眼先后进行了¹²⁵I巩膜近距离放射疗法。
双侧巩膜近距离放射疗法成功治疗了这两种肿瘤，保住了双眼并保留了有用的视觉功能。
