Swept-source optical coherence tomography angiography in diagnosing radiation retinopathy after choroidal melanoma plaque brachytherapy

Magdalena Kal; Michał Brzdęk; Aleksandra Stypuła-Wypchło; Dorota Zarębska-Michaluk

doi:10.5114/ms.2024.145410

eISSN: 2300-6722
ISSN: 1899-1874

Medical Studies/Studia Medyczne

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abstract:

Review paper

Swept-source optical coherence tomography angiography in diagnosing radiation retinopathy after choroidal melanoma plaque brachytherapy

Magdalena Kal

^{1, 2}

,

Michał Brzdęk

^{2, 3}

,

Aleksandra Stypuła-Wypchło

¹

,

Dorota Zarębska-Michaluk

^{2, 3}

Ophthalmic Clinic, Voivodeship Hospital, Kielce, Poland
Collegium Medicum, Jan Kochanowski University, Kielce, Poland
Department of Infectious Diseases, Jan Kochanowski University, Kielce, Poland

Medical Studies/Studia Medyczne

DOI: https://doi.org/10.5114/ms.2024.145410

Online publish date: 2024/12/02

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Radiation retinopathy is ischaemic damage to the retina and choroid following brachytherapy of intraocular tumours and head and neck tumours. It can lead to vision loss in patients treated with radiation due to choroidal melanoma. Patients following this type of treatment should be systematically monitored for tumour recurrence, metastases, and ischaemic radiation retinopathy. Follow-up should include a fundus examination and additional tests such as optical coherence tomography angiography (OCTA), fluorescein angiography (FA), and B-scan ultrasonography. OCTA proves to be a valuable diagnostic tool for early detection and treatment of radiation retinopathy, offering detailed vascular maps and effectively identifying radiation retinopathy features, complementing traditional methods like fluorescein angiography.

keywords:

Swept-source optical coherence tomography angiography in diagnosing radiation retinopathy after choroidal melanoma plaque brachytherapy

Magdalena Kal 1, 2 , Michał Brzdęk 2, 3 , Aleksandra Stypuła-Wypchło 1 , Dorota Zarębska-Michaluk 2, 3

optical coherence tomography angiography, choroidal melanoma, radiation retinopathy, plaque brachytherapy

Magdalena Kal

^{1, 2}

,

Michał Brzdęk

^{2, 3}

,

Aleksandra Stypuła-Wypchło

¹

,

Dorota Zarębska-Michaluk

^{2, 3}