Transpupillary thermotherapy in the treatment of choroidal metastasis from breast carcinoma.
BACKGROUND
Most patients who develop metastatic carcinoma to the choroid are managed by local radiation or chemotherapy. Since transpupillary thermotherapy (TTT) is currently gaining attention as an optional treatment for choroidal melanomas and hemangiomas, we sought to determine whether TTT is suitable for treatment of solitary choroidal metastasis at the posterior pole.


METHODS
We report on a patient with decreased vision due to a serous macular detachment in a eye with a solitary choroidal metastasis from breast carcinoma, who was managed by TTT.


RESULTS
After two months of follow up, total re-absorption of the serous macular detachment was achieved and the patient recovered full visual acuity in the treated eye. The choroidal mass became atrophic and hyperpigmentation of the retinal pigment epithelium and retinal folds in the macular region were observed. After six months of TTT, the ocular picture remained unchanged.


CONCLUSIONS
TTT can be considered an acceptable therapeutic option for solitary choroidal metastasis associated with serous retinal detachment.
Vianna
Raul N G
RN
Department of Ophthalmology, Fluminense Federal University, Rio de Janeiro, Brazil. raulngvianna@ig.com.br
Pena
Rafael
R
Muralha
Acácio
A
Muralha
Lília
L
Muranaka
Eduardo
E
D000328:Adult; D001943:Breast Neoplasms / Q000473:pathology*; D002277:Carcinoma / Q000556:secondary* / Q000628:therapy*; D002830:Choroid Neoplasms / Q000556:secondary* / Q000628:therapy*; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D006979:Hyperthermia, Induced; D011680:Pupil; D012163:Retinal Detachment / Q000209:etiology; D014786:Vision Disorders / Q000209:etiology; D014792:Visual Acuity