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Presentation typeOral presentation
TitleRadiation Retinopathy in patients with Ruthenium brachytherapy for uveal melanoma
PurposeRadiation retinopathy is a major cause of vision loss following brachytherapy for uveal melanoma. Despite various proposed classifications for assessing radiation retinopathy, there is no universally accepted score system in clinical pratice. This study aims to develop a multimodal classification system for radiation retinopathy, to determine its incidence and characterise clinical outcomes
MethodsRetrospective cohort study. Associations with radiation retinopathy severity, visual acuitiy and macular thickness were analysed.
Results121 patients were included, of whom 59 developed radiation retinopathy in some form (49%) during follow-up. A classification system for radiation retinopathy was developed based on fundus phtografhy and optical coherence tomograhy. Increasing grades of radiation retinopathy were associated with poorer vision, and increases macular thickness.
ConclusionAlthough radiation retinopathy does nog appear to impact on survival, its severity is strongly associated with visual outcomes. The proposed classification system porvides a clinically useful framework for standardised evaluation and risk stratification.
Conflict of interestNo
Authors 1
Last nameMISSOTTEN
InitialsG
DepartmentUniversitaire ziekenhuizen Leuven
CityLeuven
Authors 2
Last nameWassouf
InitialsM.
DepartmentUniversitaire ziekenhuizen Leuven
CityLeuven
Authors 3
Last nameChristiaens
InitialsM.
DepartmentUniversitaire ziekenhuizen Leuven, dienst radiotherapie
CityLeuven
Authors 4
Last nameDe Clerck
InitialsI
DepartmentUniversitaire ziekenhuizen Leuven
CityLeuven
Authors 5
Last nameVan Calster
InitialsJ
DepartmentUniversitaire ziekenhuizen Leuven
CityLeuven
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