Exudaci¨®n lip¨ªdica masiva y desprendimiento de retina tras braquiterapia y termoterapia transpupilar combinada en melanoma de coroides
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- 作者：J. Zarranz-Ventura ; jzarranz@hotmail.com ; A. Salinas-Alamá ; n ; J. Barrio-Barrio ; E. de Nova ; E. Bonet ; A. Garcí ; a-Layana
- 关键词：Melanoma ; Placa ; Braquiterapia ; Termoterapia ; Termoterapia transpupilar ; Exudació ; n lipí ; dica ; Rotura retiniana
- 刊名：Archivos de la Sociedad Espa?ola de Oftalmolog¨ªa
- 出版年：2013
- 出版时间：May, 2013
- 年：2013
- 卷：88
- 期：5
- 页码：197-200
- 全文大小：1121 K
文摘
Case report
A 59 year-old male with choroidal melanoma in the left eye who underwent plaque brachytherapy (iodine 125). One week after surgery, massive exudation with retinal detachment and lipid exudation was observed. Evolution was assessed with funduscopy and ultrasound every month. Nine months after surgery transpupillary thermotherapy (TTT) was performed over the fluid-free irradiated residual tumour. Three months after this procedure, new retinal breaks appeared in the treated area with vitreous seeding that required enucleation.
Discussion
Combined treatment with plaque brachytherapy and TTT may associate severe complications that may require enucleation of the involved eye.