title: A multimodal approach to the treatment of bilateral choroidal metastases from thyroid carcinoma.
abstract: A 58-year old man, affected by metastatic thyroid carcinoma, experienced a progressive bilateral visual impairment. Ophthalmic examination revealed the presence of a choroidal mass with an associated exudative retinal detachment in both eyes. Twelve years before, a diagnosis of metastatic thyroid carcinoma had been established and the patient had been subject to several therapeutic procedures.In May 2007, he received a radiotherapy treatment to the left eye with an episcleral plaque and bilateral bulbar injection of bevacizumab. The patient had a rapid and stable visual acuity recovery. Twenty months after treatment, the lesion treated with radiotherapy was still stable whereas the contra-lateral lesion had evolved and determined a vitreal hemorrhage.
authors.affiliation: Divisions of Radiotherapy.
authors.forename: Maria Grazia
authors.initials: MG
authors.lastname: Fabrini
authors.forename: Federica
authors.initials: F
authors.lastname: Genovesi-Ebert
authors.forename: Franco
authors.initials: F
authors.lastname: Perrone
authors.forename: Mario
authors.initials: M
authors.lastname: De Liguoro
authors.forename: Clara
authors.initials: C
authors.lastname: Giovannetti
authors.forename: Fausto
authors.initials: F
authors.lastname: Bogazzi
authors.forename: Stanislao
authors.initials: S
authors.lastname: Rizzo
authors.forename: Enio
authors.initials: E
authors.lastname: Martino
authors.forename: Luca
authors.initials: L
authors.lastname: Cionini