Bilateral episcleral brachytherapy in simultaneous choroidal melanoma and circumscribed hemangioma.
OBJECTIVE
To describe the efficacy of episcleral brachytherapy in a choroidal melanoma and circumscribed hemangioma arising in both eyes of the same patient.


METHODS
We present the case of a 47 year old man who presented decreased visual acuity a few months preceding initial consult. On fundoscopy, he presented a melanotic lesion in the right eye, and a red-orange choroidal mass in the macular area of the left eye.


METHODS
B scan-ultrasound, fluorescein, and indocyanine green angiography, confirmed the diagnosis of choroidal melanoma in the right eye, and circumscribed choroidal hemangioma in the left eye. Episcleral brachytherapy with (125)I was performed in both eyes consecutively.


CONCLUSIONS
Bilateral episcleral brachytherapy successfully treated both tumors, preserving the eyes and useful visual function.
Ophthalmology Department, Área de Gestión Sanitaria Norte de Almería, Hospital la Inmaculada, Huércal-Overa, Almería.
María Encarnación
ME
Correa-Pérez
Intraocular Tumors Unit Referral National Health System Ophthalmology and Radiotherapy Department, Hospital Clinico Universitario Valladolid, Spain.
María Antonia
MA
Saornil
Intraocular Tumors Unit Referral National Health System Ophthalmology and Radiotherapy Department, Hospital Clinico Universitario Valladolid, Spain.
Ciro
C
García-Álvarez
Intraocular Tumors Unit Referral National Health System Ophthalmology and Radiotherapy Department, Hospital Clinico Universitario Valladolid, Spain.
Francisco Lopez-Lara
FL
Martín
Intraocular Tumors Unit Referral National Health System Ophthalmology and Radiotherapy Department, Hospital Clinico Universitario Valladolid, Spain.
Jesus María
JM
Frutos-Baraja
choroidal melanoma; circumscribed choroidal hemangioma; episcleral brachytherapy; intraocular tumors