Massive lipid exudation and retinal detachment after combined brachytherapy and transpupillary thermotherapy in choroidal melanoma

J Zarranz-Ventura; A Salinas-Alamán; J Barrio-Barrio; E de Nova; E Bonet; A García-Layana

doi:10.1016/j.oftal.2012.02.012

Massive lipid exudation and retinal detachment after combined brachytherapy and transpupillary thermotherapy in choroidal melanoma

Arch Soc Esp Oftalmol. 2013 May;88(5):197-200. doi: 10.1016/j.oftal.2012.02.012. Epub 2012 Jun 4.

[Article in English, Spanish]

Authors

J Zarranz-Ventura¹, A Salinas-Alamán, J Barrio-Barrio, E de Nova, E Bonet, A García-Layana

Affiliation

¹ Departamento de Oftalmología, Clínica Universidad de Navarra (C.U.N.), Pamplona, Spain. [email protected]

PMID: 23623022
DOI: 10.1016/j.oftal.2012.02.012

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.

Publication types

Case Reports

MeSH terms

Brachytherapy / adverse effects*
Choroid Neoplasms / therapy*
Combined Modality Therapy
Exudates and Transudates
Humans
Hyperthermia, Induced / adverse effects*
Hyperthermia, Induced / methods
Male
Melanoma / therapy*
Middle Aged
Pupil
Retinal Detachment / etiology*