Department of Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Vitreo-Retina Services, L. V. Prasad Eye Institute, Bhubaneswar, Odisha, India.
Indian J Ophthalmol. 2023 Jan;71(1):303-305. doi: 10.4103/ijo.IJO_1526_22.
A 40-year-old male presented with reduced vision in the right eye for one week. He had a history of nasopharyngeal carcinoma for which 34-Gy radiation was administered. The best-corrected visual acuity (BCVA) was 20/40 in the right eye and 20/20 in the left eye. Anterior segment examination suggested a bilateral early posterior subcapsular cataract. Fundoscopy revealed bilateral localized telangiectasia and macular edema in the right eye. Diagnosis of bilateral extremely delayed onset radiation retinopathy with right eye macular edema was made. Three doses of intravitreal bevacizumab injection were administered in the right eye. The patient was lost to follow-up due to COVID-19 and presented with recurrence.
一位 40 岁男性，因右眼视力下降一周就诊。他曾患有鼻咽癌，接受了 34Gy 的放射治疗。右眼最佳矫正视力（BCVA）为 20/40，左眼为 20/20。眼前节检查提示双眼早期后囊下白内障。眼底检查显示右眼双侧局限性毛细血管扩张和黄斑水肿。诊断为双眼极迟发性放射性视网膜病变伴右眼黄斑水肿。右眼玻璃体腔内注射了 3 剂贝伐单抗。由于 COVID-19 该患者失访并出现复发。
