Late radiation retinopathy in a patient treated for retinoblastoma.
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Дата
2011-10
Автори
Lafaut, B. A.
De Laey, J.-J.
Meire, F. M.
Kutchoukov, B. M.
Заглавие на списанието
ISSN на списанието
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Издател
Централна медицинска библиотека, МУ София / Central Medical Library - MU Sofia
Резюме
We report a case of a young man who developed radiation
retinopathy 12 years after irradiation for retinoblastoma. With a history of bilateral
retinoblastoma, our patient presented clustered retinal teleangiectasias in the
non-enucleated but treated with radiation eye. The lesions were associated with
hemorrhages and gradually increasing retinal exudation that deteriorated best
corrected visual acuity (BCVA) from 0.25 to 0.1. Detailed ophthalmic examination
was performed incl. fl uorescein angiography (FA), indocyanine green angiography
(ICG) and optical coherence tomography (OCT). The ICG highlighted the vascular
anomalies that were clearly hyperfl uorescent in the late phase. After 3 sessions
of focal ALC the outlined edema on Oct scans diminished and BCVA improved to
0.2. Some retinoschisis-like cystic changes remained on OCT retinal scans. The
manifested changes had common features with those found in diabetic retinopathy.
ICG staining of the retinal vascular anomalies was found. Radiation retinopathy
may occur more than a decade following radiation treatment for retinoblastoma.
Appropriate laser treatment may overcome the advancing process.
Описание
Address for correspondence:
Borislav Kutchoukov, MD, PhD;
Department of Ophthalmology;
University Hospital “Alexandrovska”;
Blvd. “Sv. Georgi Sofi iski” 1;
1431 Sofia;
tel. + 359 888556724
Ключови думи
radiation retinopathy, OCT, ICG, retinoblastoma
Цитирания
B. A. Lafaut, J.-J. De Laey, F. M. Meire and B. M. Kutchoukov. Late radiation retinopathy in a patient treated for retinoblastoma. - Acta medica bulgarica , 38, 2011, No 2, 54-58.