LASER PHOTOCOAGULATION FOR I 125 RADIATION-INDUCED RETINOPATHY IN CHOROIDAL MELANOMA: A CASE REPORT

Abstract

A 25 year-old female complaining of visual acuity loss in her left eye (OS). Funduscopic and ultrasound appearance revealed choroidal melanoma in OS. Treatment with plaque brachytherapy using I125 was started. It was observed improvement regarding tumor size and best-corrected visual acuity (BCVA). However, at 39 months following brachytherapy, fundoscopic signs of radiation-induced retinopathy (microaneurysms, retinal hemorrhages, hard exudates, and neovascularization) were observed. Fluorescein angiography confirmed the diagnosis of radiation-induced retinopathy, with extense areas of ischemia and neovascularization. Focal argon photocoagulation was used as treatment with excellent results at 5 years follow-up