SCIENTIFIC POSTER_Monica Asencio Duran_2

Purpose:

To report high intensity focused ultrasound (HIFU) circular cyclocoagulation as a new treatment option for uncontrolled intraocular pressure in patients with uveal melanoma treated with brachytherapy.

Patients and Methods:

Two patients with unsuccessfully photocoagulated radiation retinopathy after brachytherapy for uveal melanoma and uncontrolled intraocular pressure on maximal medical treatment were treated with HIFU circular cyclocoagulation. The treatment aims were to lower intraocular pressure, withdraw acetazolamide oral treatment, and relieve pain due to corneal decompensation.

Results:

In both patients, HIFU circular cyclocoagulation permitted withdrawal of oral acetazolamide and relieved ocular pain. Intraocular pressures decreased from 45 mmHg to 24 mmHg (46,6%) in patient 1 and from 38 mmHg to 20 mmHg (47,3%) in patient 2, and in both cases IOP decrease was stable for 6 months.

Conclusion:

HIFU circular cyclocoagulation may offer a novel option to safely lower intraocular pressure and relieve pain in refractory glaucoma associated with uveal melanoma, avoiding the need of secondary enucleation.