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  • Ogłoszenia
  • Plan wydawniczy
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Wydanie 1/2008

Jaskra następcza po brachyterapii u chorych z czerniakiem naczyniówki i ciała rzęskowego

Consecutive Glaucoma in Patients with Ciliary Body and Uveal Melanoma Treated with Brachytherapy

Bożena Romanowska-Dixon, Anna Markiewicz

Klinika Okulistyki i Onkologii Okulistycznej Katedry Okulistyki
Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie
Kierownik: dr hab. n. med. Bożena Romanowska-Dixon

Summary: Objective: To evaluate the irradiation influence that lead to consecutive glaucoma development following plaque radiotherapy for choroidal and ciliary body melanoma.
Methods: Review of the 562 patients treated in our Department between 1998-2002. All patients received brachytherapy (106Ru or 125I applicators). The dose for the apex was 80 –120 Gy, and 386 Gy for the sclera. The average application time was 3.5 days. The follow-up was 2-5 years (average 3.5).
Results: Radiation related complications appeared in 480 patients (86%). In 408 cases complications involved anterior segment of the eye. Sixty five patients showed consecutive glaucoma (11.6%), 50 iris neovascularization (8.9%), 25 irydocyclitis (4.4%).
Conclusion: consecutive glaucoma appeared more often after iodine brachytherapy, in large tumors located in ciliary body.

Keywords: radiation complications, consecutive glaucoma, brachytherapy, choroidal melanoma.

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