Indian Journal of Ophthalmology (Jan 2014)
Brachytherapy, A viable option of globe salvage in treatment of large ciliary body melanocytoma
- Mahesh P Shanmugam,
- Manish Saxena,
- Rajesh Ramanjulu,
- Pradeep Tekwani
Affiliations
- Mahesh P Shanmugam
- Manish Saxena
- Rajesh Ramanjulu
- Pradeep Tekwani
- DOI
- https://doi.org/10.4103/0301-4738.143953
- Journal volume & issue
-
Vol. 62,
no. 9
pp. 966 – 968
Abstract
We report a case of large histopathologically proven melanocytoma of the ciliary body in a 15-year-old male, presented with rapid extraocular growth following incisional biopsy with scleral patch graft. We chose brachytherapy with Ruthenium 106 plaque over enucleation as the later was refused by the parents. The initial apical height of the tumor was 14.2 mm on ultrasonography. Two weeks after brachytherapy, the mass regressed to a size of 8.1 mm and 1 year later to 6.7 mm. This is the first case report showing the response of brachytherapy to ciliary body melanocytoma, which results in ocular and visual acuity salvation with considerable decreased in size of the tumor. The authors conclude that brachytherapy is an option in the management of non-resectable melanocytoma of the ciliary body.
Keywords
- Glaucoma
- pressure-to-cornea index
- visual field
- Combined trabeculectomy
- glaucoma tube shunt surgery
- long-term results
- ocular perfusion pressure
- open-angle glaucoma
- systemic hypertension
- Anterior stromal opacities
- femtosecond anterior lamellar keratoplasty
- spectral domain optical coherence tomography
- Anesthesia
- cataract
- phacoemulsification
- randomized control trail
- Cataract
- intraocular lens
- optical low-coherence reflectometry
- partial coherence interferometry
- Corneal blindness
- community eye banking
- keratoplasty
- Corneal deposits
- in vivo confocal microscopy
- monoclonal gammopathy of undetermined significance
- multiple myeloma
- Imaging
- optical coherence tomography
- neovascular age-related macular degeneration
- Choroidal neovascular membrane
- punctate inner choroidopathy
- young adult male
- unilateral PIC
- Systemic lupus erthematosus
- SLE- retinopathy
- Cataract
- carotid-cavernous fistula
- proptosis
- small incision cataract surgery
- Blepharophimosis
- clefting syndrome
- epicanthus inversus
- Michels syndrome
- Bleb associated infections
- blebitis
- combined surgery
- releasable suture
- use of Mitomycin C
- Fundus imaging
- mobile phone
- ophthalmoscopy
- smart phone
- Central retinal artery occlusion
- ischemic optic neuropathy
- postoperative visual loss
- spinal surgery
- Brachytherapy
- ciliary body melanocytoma
- plaque radiotherapy
- ruthenium 106
