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

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3 Answers
Mednet Member
Mednet Member
Ophthalmology · Stanford University

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

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

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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