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Management of medulloepithelioma of the ciliary body with brachytherapy
Frederick H Davidorf1, Elson Craig, Lee Birnbaum
1Department of Ophthalmology, The Ohio State University, Columbus, Ohio, USA. davidorf.1@osu.edu
Purpose:
To report a case of an adult with a ciliary body mass diagnosed as a medulloepithelioma by fine-needle aspiration, confirmed by tissue biopsy, and successfully treated with brachytherapy.
Design:
Interventional case report.
Methods:
A 23-year-old white woman presented with a large mass originating in the ciliary body of the left eye. The mass, which measured 6 x 5 x 7.6 mm, was at the upper limits for resection. Treatment with iodine-125 brachytherapy (4,648 cGy) was employed to debulk the mass before eyewall resection.
Results:
The elevation of the mass by ultrasonography 5 months after brachytherapy was 3.9 mm with no evidence of growth during the 18-month follow-up period.
Conclusion:
We report a case in which a ciliary body medulloepithelioma treated with brachytherapy had a favorable response through 18 months of follow-up after treatment. This is a single case report, and longer follow-up is necessary before treatment efficacy can be fully evaluated.