Radiation retinopathy in patients treated for sinus and epipharingeal malignancies

Background. Radiation retinopathy is vasculopathy induced by ionising radiation delivered by either brachytherapy or teletherapy for ocular and nonocular malignancies. The first signs of radiation retinopathy typically occur a few months to a few years after the exposure to ionizing radiation. Case...

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Main Authors: Kosanović-Jaković Natalija, Risimić Dijana, Petrović Lidija, Milenković Svetislav
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2005-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2005/0042-84500510775K.pdf
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author Kosanović-Jaković Natalija
Risimić Dijana
Petrović Lidija
Milenković Svetislav
author_facet Kosanović-Jaković Natalija
Risimić Dijana
Petrović Lidija
Milenković Svetislav
author_sort Kosanović-Jaković Natalija
collection DOAJ
description Background. Radiation retinopathy is vasculopathy induced by ionising radiation delivered by either brachytherapy or teletherapy for ocular and nonocular malignancies. The first signs of radiation retinopathy typically occur a few months to a few years after the exposure to ionizing radiation. Case report. In the 3 of our patients, changes like capillary telangiectasia, microaneurysms, intraretinal hemorrhages, hard exudation, and capillary nonperfusion showed a clinical picture of macular edema. Two of the patients were suspected of diabetic retinopathy, and 1 patient had optic neuropathy. In our group of patients a latent period was between 3 and 8 years. The incidence of radiation retinopathy increases significantly with the total doses of radiation above 45 Gy, and, thus, it has not been found in the lower doses. Conclusion. Radiation retinopathy is a diagnostical and therapentical problem. Clinical picture can be identical to that of diabetic retinopathy suggesting a common pathophysiologic mechanism of the damage to capillary endothelial cells, and the importance of clinical examination, anamnesis and fluorescein angiography.
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spelling doaj.art-fff0dae2acf04524bc5dc5da47edc1d12022-12-22T02:34:38ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502005-01-01621077577810.2298/VSP0510775KRadiation retinopathy in patients treated for sinus and epipharingeal malignanciesKosanović-Jaković NatalijaRisimić DijanaPetrović LidijaMilenković SvetislavBackground. Radiation retinopathy is vasculopathy induced by ionising radiation delivered by either brachytherapy or teletherapy for ocular and nonocular malignancies. The first signs of radiation retinopathy typically occur a few months to a few years after the exposure to ionizing radiation. Case report. In the 3 of our patients, changes like capillary telangiectasia, microaneurysms, intraretinal hemorrhages, hard exudation, and capillary nonperfusion showed a clinical picture of macular edema. Two of the patients were suspected of diabetic retinopathy, and 1 patient had optic neuropathy. In our group of patients a latent period was between 3 and 8 years. The incidence of radiation retinopathy increases significantly with the total doses of radiation above 45 Gy, and, thus, it has not been found in the lower doses. Conclusion. Radiation retinopathy is a diagnostical and therapentical problem. Clinical picture can be identical to that of diabetic retinopathy suggesting a common pathophysiologic mechanism of the damage to capillary endothelial cells, and the importance of clinical examination, anamnesis and fluorescein angiography.http://www.doiserbia.nb.rs/img/doi/0042-8450/2005/0042-84500510775K.pdfcarcinomamandibular neoplasmspharyngealneoplasmsorbital neoplasmseye neoplasmsradiotherapyretinal diseasesdiagnosistreatmentoutcome
spellingShingle Kosanović-Jaković Natalija
Risimić Dijana
Petrović Lidija
Milenković Svetislav
Radiation retinopathy in patients treated for sinus and epipharingeal malignancies
Vojnosanitetski Pregled
carcinoma
mandibular neoplasms
pharyngealneoplasms
orbital neoplasms
eye neoplasms
radiotherapy
retinal diseases
diagnosis
treatmentoutcome
title Radiation retinopathy in patients treated for sinus and epipharingeal malignancies
title_full Radiation retinopathy in patients treated for sinus and epipharingeal malignancies
title_fullStr Radiation retinopathy in patients treated for sinus and epipharingeal malignancies
title_full_unstemmed Radiation retinopathy in patients treated for sinus and epipharingeal malignancies
title_short Radiation retinopathy in patients treated for sinus and epipharingeal malignancies
title_sort radiation retinopathy in patients treated for sinus and epipharingeal malignancies
topic carcinoma
mandibular neoplasms
pharyngealneoplasms
orbital neoplasms
eye neoplasms
radiotherapy
retinal diseases
diagnosis
treatmentoutcome
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2005/0042-84500510775K.pdf
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AT petroviclidija radiationretinopathyinpatientstreatedforsinusandepipharingealmalignancies
AT milenkovicsvetislav radiationretinopathyinpatientstreatedforsinusandepipharingealmalignancies