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Plaque brachytherapy for choroidal melanoma with vitreous haemorrhage: a therapeutic challenge
- Source :
- BMJ Case Rep
- Publication Year :
- 2023
-
Abstract
- A 47-year-old man presented with profound loss of vision in right eye and relative afferent pupillary defect. On fundus examination, posterior pole details were obscured due to dense vitreous haemorrhage. B-scan ultrasonography was performed that revealed a mushroom-shaped hyperechoic lesion with medium internal reflectivity on A-scan ultrasonography. After performing contrast-enhanced MRI of the orbit, a diagnosis of choroidal melanoma was established. Patient was managed using plaque brachytherapy based on multiplanar MRI. This was followed 10 months later by pars plana vitrectomy and cataract extraction. Vision postoperatively improved to 20/60. A systematic clinical assessment along with supportive ancillary investigations augments diagnostic accuracy and reduces delay in definitive management.
- Subjects :
- 0106 biological sciences
Pars plana
Choroidal melanoma
Male
Uveal Neoplasms
medicine.medical_specialty
genetic structures
medicine.medical_treatment
Posterior pole
Brachytherapy
Vitrectomy
Case Report
Fundus (eye)
01 natural sciences
Lesion
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Melanoma
business.industry
Choroid Neoplasms
Plaque brachytherapy
General Medicine
Middle Aged
eye diseases
Vitreous Hemorrhage
medicine.anatomical_structure
030221 ophthalmology & optometry
sense organs
Radiology
medicine.symptom
business
010606 plant biology & botany
Orbit (anatomy)
Subjects
Details
- ISSN :
- 1757790X
- Volume :
- 14
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- BMJ case reports
- Accession number :
- edsair.doi.dedup.....1f14446352c6b535170771a6136910c8