1. Emir Čabrić,
Federation of Bosnia and Herzegovina
, Bosnia and Herzegovina
2. Vahid Jusufović, 3. Jasmin Zvorničanin,
Federation of Bosnia and Herzegovina
, Bosnia and Herzegovina
Purpose: To report a case of irradiation cataract phacoemulsification after brachytherapy with special overview on literature review.
Methods: Case report and video presentation. 30-year-old man presented to Policlinic Doboj Jug with white (total) irradiation cataract. Patient was already subjected to brachytherapy due to chorioid melanoma with implantation of glaucoma filtration device. Patient underwent phacoemulsification in local anesthesia without any complications. Postoperative follow-up was 6 months.
Result: Uncorrected visual acuity (UCVA) improved from light perception to 0,1. There was no postoperative keratopathy, intraocular pressure maintained stabile with no changes on retina surface noticed. Incidence of ocular melanoma in Europe is 2-8 per million. Management concept of ocular melanoma has changed in recent years, introducing brachytherapy as treatment of choice in small and medium sized melanomas. These data is well supported on the basis of long-term follow-up studies with survival rates of 28%, same as in patients who underwent enucleation. Lens of the eye is highly sensitive to radiation with irradiation cataract developing in 16 to 30% of all cases of brachytherapy. 50% patients preserve some visual acuity after brachytherapy.
Conclusions: Small- and medium-sized melanomas can be adequately treated with brachytherapy. Phacoemulsification can is helpful in patients who develop irradiation cataract after brachytherapy. Cataract extraction can significantly improve visual functioning in patients with irradiation cataract and esthetic results are excellent.
Ključne reči :
Tematska oblast:
Uvodni rad:
Da
Datum:
29.03.2012.
Br. otvaranja:
735
