Abstract

DO.04.01

Treatment of macular edema following radiotherapy: comparative results in a small case series

Vasileios Petousis1, Gregor Willerding1, Georgios Charitoudis1, Nikolaos E. Bechrakis2, Michael H. Foerster1
1Augenklinik, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin; 2Universitätsklinik für Augenheilkunde und Optometrie, Universität Innsbruck, Innsbruck, Österreich

Objective
Macular edema in radiation-induced retinopathy is a common complication in the treatment of choroidal melanoma. This study compares different treatment approaches with respect to the anatomical and functional results.
Methods
The study included all patients (n=19) in the period of 2005 to 2008 being treated for radiation induced macular edema in our department,. The therapeutical approach was either oral treatment with acetazolamid (n=10) or intravitreal injection of Bevacizumab (n=8), or triamcinolone (n=8), respectively. The mean follow up time was 2,5 years.
Results
No change in best-corrected visual acuity was documented after any of the three therapeutical approaches. However, bevacizumab and triamcinolone led to the reduction of macular edema by 60 µm and 170µm, respectively.
Conclusions

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