Long-term choroidal vascular changes after iodine brachytherapy versus transpupillary thermotherapy for choroidal melanoma.

Elisabetta Pilotto, Stela Vujosevic, Valentina De Belvis, Raffaele Parrozzani, Barbara Boccassini, Edoardo Midena

Research output: Contribution to journalArticlepeer-review

Abstract

To compare long-term choroidal vascular changes after iodine-125 brachytherapy (IBT) versus transpupillary thermotherapy (TTT) used as primary treatment of small choroidal melanoma. Ninety-five small choroidal melanomas were randomized: 49 eyes with TTT and 46 eyes with IBT alone. Fluorescein and indocyanine green angiography (ICGA) were performed at 3-month intervals during the first year, and every 6 months thereafter. Mean follow-up was 56.2 months (range, 24-118 months; SD, 22.6). Tumor regressed in 45 (92%) TTT-treated vs 45 (98%) IBT-treated eyes (p=0.397). Four TTT-treated and one IBT-treated tumor recurred. Occlusion of choriocapillaris was present in all TTT and IBT cases. Closure of medium and large choroidal vessels was observed in 17 (35%) TTT-treated vs 44 (96%) IBT-treated eyes (p

Original languageEnglish
Pages (from-to)646-653
Number of pages8
JournalEuropean Journal of Ophthalmology
Volume19
Issue number4
Publication statusPublished - Jul 2009

ASJC Scopus subject areas

  • Ophthalmology

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