Zm. Correa et al., Early-onset scleral necrosis after iodine I 125 plaque radiotherapy for ciliochoroidal melanoma, ARCH OPHTH, 117(2), 1999, pp. 259-261
A 62-year-old man with a large ciliochoroidal melanoma developed early-onse
t scleral necrosis with tumor extrusion within 1 month of epibulbar iodine
I 125 plaque radiotherapy. The eye was enucleated. Pathologic study reveale
d nonmicrobial scleral necrosis with extrusion of histologically intact and
necrotic uveal melanoma cells. The patient has been followed up for 15 mon
ths without clinical recurrence. We discuss possible mechanisms to explain
the early development of scleral necrosis after plaque therapy in this pati
ent.