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一名年轻女性患者脉络膜恶性黑色素瘤近距离放疗后白内障摘除术:病例报告

Cataract Extraction After Brachytherapy for Malignant Melanoma of the Choroid in a Young Female Patient: A Case Report.

作者信息

Sadhar Birkaran, Sharma Paarth, Shakoor Tayyab, Singh Satnam, Buzas Chris

机构信息

Ophthalmology, Lake Erie College of Osteopathic Medicine, Erie, USA.

Emergency Medicine, Lake Erie College of Osteopathic Medicine, Erie, USA.

出版信息

Cureus. 2025 Jan 30;17(1):e78253. doi: 10.7759/cureus.78253. eCollection 2025 Jan.

Abstract

The use of brachytherapy, a form of radiation therapy, plays a crucial role in the management of intraocular melanomas of the choroid. Ionization radiation treatment has the unfortunate side effect of developing cataracts prematurely. We present an uncommonly seen case of a 36-year-old woman who presented with blurred vision in her left eye following successful plaque radiotherapy four years prior for malignant melanoma in the same eye. The patient had developed a cataract, which hindered her visual acuity and visualization of the tumor. Prompt cataract surgery after brachytherapy for radiation-induced cataracts is necessary for the improvement of the quality of life and ensuring effective uveal and retinal examination.

摘要

近距离放射治疗作为放射治疗的一种形式,在脉络膜眼内黑色素瘤的治疗中起着关键作用。电离辐射治疗有过早形成白内障这一不幸的副作用。我们报告了一例罕见病例,一名36岁女性,四年前因同一只眼睛的恶性黑色素瘤成功接受斑块放射治疗后,出现左眼视力模糊。该患者患上了白内障,这妨碍了她的视力以及肿瘤的观察。对于放射性白内障,在近距离放射治疗后及时进行白内障手术,对于改善生活质量以及确保有效的葡萄膜和视网膜检查是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6352/11871966/6018a1d34222/cureus-0017-00000078253-i01.jpg

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