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Bilateral Rhegmatogenous Retinal Detachment during External Beam Radiotherapy
Takako Hidaka1, Hideki Chuman1, Nobuhisa Nao-I1
1Department of Ophthalmology, Faculty of Medicine, University of Miyazaki, Miyazaki City, Japan.
Case Reports in Ophthalmology
|July 28, 2016
Summary
Simultaneous nontraumatic bilateral rhegmatogenous retinal detachment (RRD) is a rare complication during external beam radiotherapy for nonocular tumors. Close ocular monitoring is crucial for patients undergoing radiotherapy, especially those with pre-existing risk factors.
Area of Science:
- Ophthalmology
- Radiation Oncology
- Oncology
Background:
- Nontraumatic bilateral rhegmatogenous retinal detachment (RRD) is a rare occurrence.
- External beam radiotherapy (EBRT) is a common treatment for various cancers.
Observation:
- A 65-year-old male with primary central nervous system B-cell lymphoma developed bilateral RRD during EBRT.
- The patient had no history of trauma.
- Retinal detachment occurred during the course of radiotherapy treatment.
Findings:
- Radiotherapy may affect ocular functionality, potentially leading to RRD.
- Vitreous contraction and retinal adhesion are implicated mechanisms.
- Simultaneous bilateral RRD during EBRT is an uncommon event.
Implications:
- Ophthalmologists and oncologists should be aware of the potential for RRD during radiotherapy.
- Enhanced ocular surveillance is recommended for patients undergoing EBRT.
- Patients with prior retinal issues or specific risk factors require heightened monitoring.
