DR. BRUTTENDU MOHARANA

DR. ASHOK GUPTA, DR. BHAVANA SHARMA

Abstract

PURPOSE:

To discuss a case of radiation induced retinopathy after cranial irradiation and challenges faced in management.

METHODS:

Our patient developed radiation induced retinopathy 7 years after cranial irradiation to treat pituitary macroadenoma. He underwent detailed ocular examination with slit-lamp and indirect ophthalmoscopy. Fundus fluorescein angiography and OCT were done. He was treated with multiple intravitreal steroid injections.

RESULTS:

The retinal edema as a result of radiation damage was successfully treated with intravitreal steroid injections. However, the disease progressed to develop retinal neovascularisation.

CONCLUSIONS:

Radiation retinopathy is a major cause of visual morbidity after radiotherapy for malignancies of the head, face, and neck. Here we have discussed therapeutic interventions like intravitreal anti-VEGF, intravitreal steroid and laser photocoagulation that have ameliorated the effects of retinopathy with varying levels of success.