Nordman E, Nordman L E, Voutilainen A
Strahlentherapie. 1976 Sep;152(3):254-9.
Twenty-two cases with carcinomas of the nasal cavity, sinuses, buccal and orbital regions treated in the Radiotherapy Clinic of University Central Hospital in Turku, are presented. The dose delivered to the eye was 1400 to 6300 rd. The most usual radiation complication was keratitis which appeared in 15 cases, cataract was diagnosed in seven cases, corneal ulcer in three, iritis in two, retinopathia in two, and glaucoma in three cases. Most of the complications could be relieved or cured with appropriate therapy. In only one case the eye was to be enucleated because of severe glaucoma and corneal ulceration. As the prognosis of malignant tumours in this area usually is bad, irradiation to the eye on the affected side is to be taken as a calculated risk to achieve a more effective cancer control.
本文介绍了在图尔库大学中心医院放疗科接受治疗的22例鼻腔、鼻窦、颊部和眼眶区域癌患者。眼部接受的辐射剂量为1400至6300拉德。最常见的放疗并发症是角膜炎，出现15例；白内障确诊7例；角膜溃疡3例；虹膜炎2例；视网膜病变2例；青光眼3例。大多数并发症经适当治疗可缓解或治愈。仅1例因严重青光眼和角膜溃疡而行眼球摘除术。由于该区域恶性肿瘤的预后通常较差，为实现更有效的癌症控制，对患侧眼睛进行照射应视为一种权衡后的风险。
