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What is the appropriate interval before safely performing cataract surgery after plaque radiation therapy for iris melanoma?

3 Answers
Mednet Member
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Ophthalmology · Stanford University
Answered on · Updated on

Great question, but one that requires a nuanced answer.

Often, patients with iris melanomas have some degree of lens opacity, and following brachytherapy, the cataract will surely progress. I recommend carefully following up on the iris melanoma after radiation to ensure the lesion is regressing pro...

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Mednet Member
Mednet Member
Ophthalmology · New York Eye Cancer Center
Answered on

The answer to your question largely depends on the type of radiation source used and the extent of the corneal surface irradiated. For example, I have yet to encounter a native cornea becoming opacified after low-energy LDR I-125, Pd-103, or HDR Y-90 plaque irradiation for iris melanoma. Acute glauc...

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Mednet Member
Mednet Member
Ophthalmology · Center For Advanced Eye Care
Answered on

Usually 2-3 months.

Usually, the ocular oncologist will send a clearance letter. That is probably the most important criterion.

Otherwise, looking for a white + quiet eye.

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