Phacoemulsification of irradiation cataract after brachytherapy.
A 24-year old man presented to the Policlinic with severe visual impairment in his left eye. The patient had been treated earlier with Iodine-125 brachytherapy due to iris melanoma. Clinical examination revealed low visual acuity, filtration device, iris atrophy, posterior synachiae and completely white cataract. Ultrasonography revealed scleral thinning with no signs of retinal detachment. The patient underwent synechiolysis, trypan blue capsule staining, phacoemulsification and implantation of 23D intraocular lens Alcon AcrySof (MA60BM). Phacoemulsification went uneventful and early postoperative recovery was successful. Visual acuity improved to 0,2 and fundus examination revealed radiation retinopathy with diffuse retinal scaring.
Policlinic Doboj-Jug, Matuzići, 2Eye Clinic, University Clinical Centre of Tuzla, Tuzla; Bosnia and Herzegovina.
Emir
E
Čabrić
Jasmin
J
Zvorničanin
Vahid
V
Jusufović
D000328:Adult; D001918:Brachytherapy / Q000009:adverse effects*; D002386:Cataract / Q000209:etiology*; D002387:Cataract Extraction / Q000379:methods; D006801:Humans; D015811:Iris Neoplasms / Q000532:radiotherapy; D007910:Lenses, Intraocular; D008297:Male; D008545:Melanoma / Q000532:radiotherapy; D018918:Phacoemulsification; D016896:Treatment Outcome; D014792:Visual Acuity