Yıl: 2020 Cilt: 29 Sayı: 3 Sayfa Aralığı: 254 - 258 Metin Dili: Türkçe DOI: 10.5336/ophthal.2020-75298 İndeks Tarihi: 05-11-2020

Vitreus Hemorajisi ve Makuler Ödem İzlenen Radyasyon Retinopatili Olgu

Öz:
Radyasyon retinopatisi oküler, orbital, fasiyal, nazofaringeal ve kraniyal yapıların terapötik amaçlı radyoterapiye maruziyeti sonrasında gelişen geç başlangıçlı okluziv retinal mikroanjiyopati ile karakterize- dir. Makuler ödem, optik nöropati ve neovaskülarizasyon sık rastlanan radyasyon retinopatisi komplikasyonları olup, tedavide sıklıkla lazer tedavisi ve intravitreal enjeksiyonlar kullanılmaktadır. İki aydır sol gözde devam eden görme kaybı şikâyeti ile kliniğimize başvuran ol- gunun sol gözünde ultrasonografi bulgularının da desteklediği yoğun vitreus hemorajisi, sağ gözde ise retinal hemorajiler, mikroanjiyopatik değişimler ve makuler ödem tespit edildi. Mevcut klinik bulguları ve sistemik öykü değerlendirmesi sonucunda olguya radyasyon retinopa- tisi tanısı konuldu. Sağ göze kistoid makuler ödem nedeni ile intravit- real antivasküler endotelyal büyüme faktörü tedavisi, sol göze ise vitreus hemorajisi için vitreoretinal cerrahi uygulandı. Bu çalışmada, radyasyon retinopatisinin yönetiminde nadir bir tedavi yöntemi olarak uygulanan vitreoretinal cerrahinin gerektiği radyasyon retinopatili bir olguyu sunmayı amaçladık.
Anahtar Kelime:

A Case of Radiation Retinopathy with Vitreous Hemorrhage and Macular Edema

Öz:
Radiation retinopathy is characterized by late-onset oc- clusive retinal microangiopathy that develops after exposure to thera- peutic radiotherapy of ocular, orbital, facial, nasopharyngeal, and cranial structures. Macular edema, optic neuropathy, and neovascular- ization are common radiation retinopathy complications and laser ther- apy and intravitreal injections are frequently used in treatment. In the left eye of the patient who applied to our clinic with a complaint of vi- sion loss in the left eye for two months Intense vitreous hemorrhage supported by USG findings, in the right eye retinal hemorrhages, mi- croangiopathic changes and macular edema were detected. Radiation retinopathy was diagnosed by evaluating the current clinical findings and systemic history of our patient. Intravitreal anti-vascular endothe- lial growth factor treatment was applied to the right eye for cystoid macular edema and vitreoretinal surgery was applied to the left eye for vitreous hemorrhage.The aim of this article is to present the case of ra- diation retinopathy, which is performed less frequently in radiation retinopathy control and where vitreoretinal surgery is required.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • 1. Amoaku WM, Archer DB. Fluorescein angio- graphic features, natural course and treatment of radiation retinopathy. Eye (Lond). 1990;4(Pt 5):657-67. [Crossref] [PubMed]
  • 2. Archer DB, Amoaku WM, Gardiner TA. Radi- ation retinopathy--clinical, histopathological, ultrastructural and experimental correlations. Eye (Lond). 1991;5(Pt2):239-51 [Crossref] [PubMed]
  • 3. Archer DB, Gardiner TA. Ionizing radiation and the retina. Curr Opin Ophthalmol. 1994;5(3):59-65. [Crossref] [PubMed]
  • 4. Finger PT, Kurli M. Laser photocoagulation for radiation retinopathy after ophthalmic plaque radiation therapy. Br J Ophthalmol. 2005;89(6):730-8. [Crossref] [PubMed] [PMC]
  • 5. Lee SC, Song JH, Chung EJ, Kwon OW. Pho- todynamic therapy of subretinal neovascular- ization in radiation retinopathy. Eye (Lond). 2004;18(7):745-6. [Crossref] [PubMed]
  • 6. Sutter FKP, Gillies MC. Intravitreal triamci- nolone for radiation-induced macular edema. Arch Ophthalmol. 2003;121(10):1491-3. [Crossref] [PubMed
  • 7. Shields CL, Demirci H, Dai V, Marr BP, Mashayekhi A, Materin MA, et al. Intravitreal triamcinolone acetonide for radiation macu- lopathy after plaque radiotherapy for choroidal melanoma. Retina. 2005 25(7):868-74. [Crossref] [PubMed]
  • 8. Gupta A, Muecke JS. Treatment of radiation maculopathy with intravitreal injection of be- vacizumab (Avastin). Retina. 2008;28(7):964- 8. [Crossref] [PubMed]
  • 9. Arriola-Villalobos P, Donate-López J, Calvo- González C, Alejandre N, Díaz-Valle D. In- travitreal bevacizumab (Avastin®) for radiation retinopathy neovascularization. Acta Ophthal- mol Scand. 2008;86(1):115-6. [Crossref] [PubMed] [PMC]
  • 10. Takeda A, Shigematsu N, Suzuki S, Fujii M, Kawata T, Kawaguchi O, et al. Late retinal complications of radiation therapy for nasal and paranasal malignancies: relationship be- tween irradiated-dose area and severity. Int J Radiat Oncol Biol Phys. 1999;44(3):599-605. [Crossref]
  • 11. Hempel M, Hinkelbein W. Eye sequelae follow- ing external irradiation. Recent Results Cancer Res. 1993;130:231-6. [Crossref] [PubMed]
  • 12. Lin KT, Lee SY, Liu SC, Tsao CC, Hsu SD, Chien WC, et al. Risk of Ocular Complications following radiation therapy in patients with na- sopharyngeal carcinoma. Laryngoscope. 2020;130(5):1270-7. [Crossref] [PubMed]
  • 13. Li M, Qiu G, Luo W, Ou J, Li X. Clinical inves- tigation of radiation retinopathy fundus and flu- orescein angiographic features. Yan Ke Xue Bao. 1999;15(3):183-6.
  • 14. Finger PT. Radiation retinopathy is treatable with antivascular endothelial growth factor be- vacizumab (Avastin). Int J Radiat Oncol Biol Phys. 2008;70(4):974-7. [Crossref] [PubMed]
  • 15. Finger PT, Chin K. Anti-vascular endothelial growth factor bevacizumab (avastin) for radi- ation retinopathy. Arch Ophthalmol. 2007;125(6):751-6. [Crossref] [PubMed]
  • 16. Gall N, Leiba H, Handzel R, Pe'er J. Severe radiation retinopathy and optic neuropathy after brachytherapy for choroidal melanoma, treated by hyperbaric oxygen. Eye (Lond). 2007;21(7):1010-2. [Crossref] [PubMed]
  • 17. Schmetterer L, Kemmler D, Breiteneder HRN, Schingerm CD, Koppensteiner RD, Lexer FM, et al. A randomized, placebo-con- trolled, double-blind crossover study of the ef- fect of pentoxifylline on ocular fundus pulsations. Am J Ophthalmol. 1996;121(2):169-76. [Crossref]
  • 18. Russo A, Avitabile T, Uva M, Faro S, Franco L, Sanfilippo M, et al. Radiation macular edema after Ru-106 plaque brachytherapy for choroidal melanoma resolved by an intravit- real dexamethasone 0.7-mg implant. Case Rep Ophthalmol. 2012;3(1):71-6. [Crossref] [PubMed] [PMC]
APA gedik c, Eraydin B, KOCAK N (2020). Vitreus Hemorajisi ve Makuler Ödem İzlenen Radyasyon Retinopatili Olgu. , 254 - 258. 10.5336/ophthal.2020-75298
Chicago gedik can,Eraydin Bilge,KOCAK NURULLAH Vitreus Hemorajisi ve Makuler Ödem İzlenen Radyasyon Retinopatili Olgu. (2020): 254 - 258. 10.5336/ophthal.2020-75298
MLA gedik can,Eraydin Bilge,KOCAK NURULLAH Vitreus Hemorajisi ve Makuler Ödem İzlenen Radyasyon Retinopatili Olgu. , 2020, ss.254 - 258. 10.5336/ophthal.2020-75298
AMA gedik c,Eraydin B,KOCAK N Vitreus Hemorajisi ve Makuler Ödem İzlenen Radyasyon Retinopatili Olgu. . 2020; 254 - 258. 10.5336/ophthal.2020-75298
Vancouver gedik c,Eraydin B,KOCAK N Vitreus Hemorajisi ve Makuler Ödem İzlenen Radyasyon Retinopatili Olgu. . 2020; 254 - 258. 10.5336/ophthal.2020-75298
IEEE gedik c,Eraydin B,KOCAK N "Vitreus Hemorajisi ve Makuler Ödem İzlenen Radyasyon Retinopatili Olgu." , ss.254 - 258, 2020. 10.5336/ophthal.2020-75298
ISNAD gedik, can vd. "Vitreus Hemorajisi ve Makuler Ödem İzlenen Radyasyon Retinopatili Olgu". (2020), 254-258. https://doi.org/10.5336/ophthal.2020-75298
APA gedik c, Eraydin B, KOCAK N (2020). Vitreus Hemorajisi ve Makuler Ödem İzlenen Radyasyon Retinopatili Olgu. Türkiye Klinikleri Oftalmoloji Dergisi, 29(3), 254 - 258. 10.5336/ophthal.2020-75298
Chicago gedik can,Eraydin Bilge,KOCAK NURULLAH Vitreus Hemorajisi ve Makuler Ödem İzlenen Radyasyon Retinopatili Olgu. Türkiye Klinikleri Oftalmoloji Dergisi 29, no.3 (2020): 254 - 258. 10.5336/ophthal.2020-75298
MLA gedik can,Eraydin Bilge,KOCAK NURULLAH Vitreus Hemorajisi ve Makuler Ödem İzlenen Radyasyon Retinopatili Olgu. Türkiye Klinikleri Oftalmoloji Dergisi, vol.29, no.3, 2020, ss.254 - 258. 10.5336/ophthal.2020-75298
AMA gedik c,Eraydin B,KOCAK N Vitreus Hemorajisi ve Makuler Ödem İzlenen Radyasyon Retinopatili Olgu. Türkiye Klinikleri Oftalmoloji Dergisi. 2020; 29(3): 254 - 258. 10.5336/ophthal.2020-75298
Vancouver gedik c,Eraydin B,KOCAK N Vitreus Hemorajisi ve Makuler Ödem İzlenen Radyasyon Retinopatili Olgu. Türkiye Klinikleri Oftalmoloji Dergisi. 2020; 29(3): 254 - 258. 10.5336/ophthal.2020-75298
IEEE gedik c,Eraydin B,KOCAK N "Vitreus Hemorajisi ve Makuler Ödem İzlenen Radyasyon Retinopatili Olgu." Türkiye Klinikleri Oftalmoloji Dergisi, 29, ss.254 - 258, 2020. 10.5336/ophthal.2020-75298
ISNAD gedik, can vd. "Vitreus Hemorajisi ve Makuler Ödem İzlenen Radyasyon Retinopatili Olgu". Türkiye Klinikleri Oftalmoloji Dergisi 29/3 (2020), 254-258. https://doi.org/10.5336/ophthal.2020-75298