Innovations in brachytherapy

Plaque brachytherapy plays an essential role in the management of intraocular tumors, allowing localized treatment while minimizing damage to surrounding structures. Since the earliest reports of sutured radon seeds used in glioma treatment in the 1920s, plaque brachytherapy in the field of ocular oncology has continued to expand and improve significantly. Today, a wide variety of ocular conditions, both oncologic and not can be treated using plaque brachytherapy. Continued innovations have also improved clinical safety and efficacy for both providers and patients alike. The use of new radioisotopes, combined with continued refinement in plaque design and applicators alongside radiation dose planning are some of novel methods used to maximize coverage and reduce radiation exposure to critical eye structures. In this paper, we will discuss promising future developments that will continue to revolutionize treatment.