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Eye Care  (Expert Forum)
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6 months after Brachytherapy for Eye cancer
Answered by
Discover Vision Centers Kansas City - MO
Our Ask A Doctor Ophthalmology Forum is where you can post your question and receive a personal answer from physicians affiliated with the American Academy of Ophthalmology.

6 months after Brachytherapy for Eye cancer

by Sherry1014, Sep 15, 2007 04:49PM
I had I125 radiation therapy for a medium size choroidal melanoma in March of this year. The tumor has caused my retina to detach.  My vision in my treated eye is almost non-existant.  I see light and dark and sometimes shapes, but it seems to vary. sometimes I can see color, but for some reason, "blue is green?"  I have lots of "flashes" and some lightning-like pain from time to time.
My question is this:
What is the prognosis for a retinal detachment that has gone on for 6 months and counting? The Retina Specialist says that the reason it remains detached is that the tumor is "still kicking out a lot of fluid."  How long can that continue?? I go back next month to have an ultrasound to see if the tumor has shrunk, but so far, I'd have to say I don't believe it has.

by John C Hagan III, MD, FACS, Sep 15, 2007 09:44PM
Most retinal detachments are caused by holes or tears in the retina this is called a rhegmatogenous RD. A much smaller number of RDs are caused by fluid or tumors under the retina and there are no holes/tears. This is called a non-rhegmatogenous RD.

Remember you have a life threatening condition that was once treated by removing the eye. If the tumor is killed, your life saved and you have any vision that is a successful treatment. The fluid could stay indefinitely. Only your surgeon can give you a more specific answer. As the Eye MD next visit.

JCH III MD  Eye Physician
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