Exudación lipídica masiva y desprendimiento de retina tras braquiterapia y termoterapia transpupilar combinada en melanoma de coroides
- Zarranz Ventura, Javier
- Salinas Alaman, Angel
- Barrio Barrio, Jesús
- Nova, E. de
- Bonet Farriol, Elvira
- García Layana, Alfredo
ISSN: 0365-6691
Year of publication: 2013
Volume: 88
Issue: 5
Pages: 197-200
Type: Article
More publications in: Archivos de la Sociedad Española de Oftalmologia
Abstract
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.