Case Report
Volume: 3 | Issue: 3 | Published: Oct 01, 2019 | Pages: 132 - 135 | DOI: 10.24911/ejmcr/173-1563217916
Very delayed onset, asymmetrical radiation retinopathy after external beam irradiation for nasopharyngeal carcinoma: a case report
Authors: Sivakami A Pai
Article Info
Authors
Sivakami A Pai
Vitreo Retinal Surgeon, Alzahra Private Hospital, Dubai, UAE
Publication History
Received: July 15, 2019
Accepted: September 19, 2019
Published: October 01, 2019
Abstract
Background: Radiation retinopathy is a chronic, gradually progressive retinal microangiopathy that can occur with variable latency after exposure to radiation of head and neck. Nasophargeal carcinoma is a frequent head and neck tumor of the south-East Asian countries. Case Presentation: A 54-year old Asian male presented with decreased vision for 2 years in left eye. He had diffuse cystoid macular edema, retinal hemorrhages, exudates, and telangiectatic vessels. In the right eye, he had focal macular edema, exudates, and micro-aneurysm. He had undergone external beam radiation for nasopharyngeal carcinoma 32 years ago. He was treated with several injections of Anti-vascular endothelial growth factors elsewhere for persistent macular edema secondary to vein occlusion in the left eye, and had fewer response. Conclusion: The chronic maculopathy responded to treatment with intra vitreal sustained-release dexamethasone implant (Ozurdex®) and laser photo coagulation.
Keywords: Case report, radiation retinopathy: external beam radiation, cystoid macular edema, dexamethasone implant, antiVEGFs, green
Pubmed Style
Sivakami A Pai. Very delayed onset, asymmetrical radiation retinopathy after external beam irradiation for nasopharyngeal carcinoma: a case report. EJMCR. 2019; 01 (October 2019): 132-135. doi:10.24911/ejmcr/173-1563217916
Web Style
Sivakami A Pai. Very delayed onset, asymmetrical radiation retinopathy after external beam irradiation for nasopharyngeal carcinoma: a case report. https://ejmcr.com/articles/1481 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1563217916
AMA (American Medical Association) Style
Sivakami A Pai. Very delayed onset, asymmetrical radiation retinopathy after external beam irradiation for nasopharyngeal carcinoma: a case report. EJMCR. 2019; 01 (October 2019): 132-135. doi:10.24911/ejmcr/173-1563217916
Vancouver/ICMJE Style
Sivakami A Pai. Very delayed onset, asymmetrical radiation retinopathy after external beam irradiation for nasopharyngeal carcinoma: a case report. EJMCR. (2019), [cited December 25, 2024]; 01 (October 2019): 132-135. doi:10.24911/ejmcr/173-1563217916
Harvard Style
Sivakami A Pai (2019) Very delayed onset, asymmetrical radiation retinopathy after external beam irradiation for nasopharyngeal carcinoma: a case report. EJMCR, 01 (October 2019): 132-135. doi:10.24911/ejmcr/173-1563217916
Chicago Style
Sivakami A Pai. "Very delayed onset, asymmetrical radiation retinopathy after external beam irradiation for nasopharyngeal carcinoma: a case report." 01 (2019), 132-135. doi:10.24911/ejmcr/173-1563217916
MLA (The Modern Language Association) Style
Sivakami A Pai. "Very delayed onset, asymmetrical radiation retinopathy after external beam irradiation for nasopharyngeal carcinoma: a case report." 01.October 2019 (2019), 132-135. Print. doi:10.24911/ejmcr/173-1563217916
APA (American Psychological Association) Style
Sivakami A Pai (2019) Very delayed onset, asymmetrical radiation retinopathy after external beam irradiation for nasopharyngeal carcinoma: a case report. , 01 (October 2019), 132-135. doi:10.24911/ejmcr/173-1563217916