{"title":"Ruthenium-106 Plaque Brachytherapy for the Management of Intraocular Tumors in Thailand: The First Report from Southeast Asia.","authors":"Thanaporn Kritfuangfoo, Boontip Tipsuriyaporn, Thitiporn Thongborisuth, Daranee Piriyasang, Somjai Dangprasert, Ladawan Narkwong, Duangnate Rojanaporn","doi":"10.1080/08820538.2024.2448522","DOIUrl":"10.1080/08820538.2024.2448522","url":null,"abstract":"<p><strong>Background: </strong>Report the results of Ruthenium plaque brachytherapy (<sup>106</sup>Ru) for the management of intraocular tumors in Thailand.</p><p><strong>Methods: </strong>We retrospectively reviewed the medical records of 46 eyes of 45 patients who received <sup>106</sup>Ru brachytherapy for the treatment of various intraocular tumors in the Department of Ophthalmology of Ramathibodi Hospital, Mahidol University, Bangkok, Thailand, between April 2013 and December 2020.</p><p><strong>Results: </strong>Of 46 eyes, 21 (46%) were diagnosed with small to medium choroidal melanoma, 13 (28%) with retinoblastoma, 4 (9%) with choroidal metastases, 2 (4%) with retinal vasoproliferative tumor (VPT), 3 (7%) with choroidal hemangioma (CH), 2 (4%) with RPE adenoma, and 1 (2%) with retinal hemangioblastoma. The mean tumor thickness was 4.8 mm (range, 2.4-6.6). After a mean follow-up of 62.4 months (range, 4.8-122.7), local tumor control was achieved in 39 eyes (85%), which were 100% for choroidal melanoma, 46% for RB, 100% for choroidal metastasis and 100% for benign tumors. Radiation-related complications were found in 28 eyes (61%), including cataracts in 10 (25%), radiation retinopathy in 14 (30%), radiation maculopathy in 14 (30%), radiation papillopathy in 6 (13%), and vitreous hemorrhage in 3 (7%) eyes. All patients with retinoblastoma currently alive without metastasis. Two patients with choroidal melanoma developed systemic metastases and three patients with choroidal metastases died at the end of the study.</p><p><strong>Conclusions: </strong>Patients with intraocular tumors treated with <sup>106</sup>Ru brachytherapy showed excellent outcomes in relation to tumor control with few complications.</p>","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":"40 7","pages":"650-658"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seminars in OphthalmologyPub Date : 2025-10-01Epub Date: 2025-04-29DOI: 10.1080/08820538.2025.2496100
Mohammad Javed Ali
{"title":"Lacrimal History - Part 16: Doyens of Dacryology Series - Charles de Saint-Yves (1667-1736) and His Observations on Anchylops and Aegilops.","authors":"Mohammad Javed Ali","doi":"10.1080/08820538.2025.2496100","DOIUrl":"10.1080/08820538.2025.2496100","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"596-599"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seminars in OphthalmologyPub Date : 2025-10-01Epub Date: 2025-03-21DOI: 10.1080/08820538.2025.2480189
Vishal Raval, Rohan Kapoor, Arun Singh
{"title":"Episcleral Plaque Brachytherapy.","authors":"Vishal Raval, Rohan Kapoor, Arun Singh","doi":"10.1080/08820538.2025.2480189","DOIUrl":"10.1080/08820538.2025.2480189","url":null,"abstract":"<p><strong>Background: </strong>Episcleral plaque brachytherapy is a treatment method for ocular tumors that involves placing radionuclide sources directly on or around the tumor using an episcleral plaque. This technique offers the advantage of a highly focused radiation dose, minimizing exposure to critical eye structures. Various radionuclides such as I-125, Ru-106, and Pd-103 are used in ocular brachytherapy. The choice of radionuclides depends on several factors, such as tumor size, location, and desired dose rate.</p><p><strong>Methods: </strong>A retrospective review of the literature from PubMed (1998-2024).</p><p><strong>Results: </strong>Special emphasis is placed on indications for ocular brachytherapy and variations in treatment approaches for choroidal and retinal tumors. This article provides a comprehensive overview of ocular brachytherapy, focusing on its history, indications, technique, and complications. It also provides insight into new innovations in ocular brachytherapy.</p><p><strong>Conclusion: </strong>This article highlights the indications for ocular brachytherapy in choroidal and retinal tumors and describes its complications. This review of the literature on synthesized variations in treatment approaches was conducted to identify the most commonly used management strategies.</p>","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"634-641"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lacrimal History - Part 64: Doyens of Dacryology Series - Cornelius Rea Agnew (1830-1888): Agnew's Knife, Punctocanaliculoplasty, and Cautery of the Lacrimal Sac Epithelium.","authors":"Mohammad Javed Ali","doi":"10.1080/08820538.2025.2566595","DOIUrl":"https://doi.org/10.1080/08820538.2025.2566595","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-5"},"PeriodicalIF":2.3,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145150640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robin Dupré, Jean-Philippe Grosse, Stéphanie Baillif, Charles Philippe, Alexandra Rabot, Lydiane Mondot, Nathalie Tieulié, Arnaud Martel
{"title":"Orbital Apex Syndrome Secondary to Herpes Zoster Ophthalmicus: A Literature Review and In-Depth Understanding.","authors":"Robin Dupré, Jean-Philippe Grosse, Stéphanie Baillif, Charles Philippe, Alexandra Rabot, Lydiane Mondot, Nathalie Tieulié, Arnaud Martel","doi":"10.1080/08820538.2025.2559843","DOIUrl":"https://doi.org/10.1080/08820538.2025.2559843","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to report our experience and to provide a comprehensive understanding of the onset and course of orbital apex syndrome secondary to herpes zoster ophthalmicus (HZO-OAS).</p><p><strong>Methods: </strong>A retrospective study was conducted in Nice University Hospital and Antibes Hospital (France) between January 2020 and December 2023. All patients diagnosed with HZO-OAS with at least a 1-month follow-up were included.</p><p><strong>Results: </strong>Eight patients with a mean age of 81 (73-90) years were included. Half of the patients had underlying immunosuppression. The mean time between the onset of the vesicular rash and the development of HZO-OAS was 10 (2-19) days. HZO-OAS occurred while all patients were already treated with oral valacyclovir. The mean initial best-corrected visual acuity (BCVA) was 20/1093. All patients had concomitant ocular involvement, i.e. keratitis, anterior uveitis or both. Seven (87.5%) patients had optic neuritis. All patients were treated with intravenous acyclovir at neuro-meningeal doses. Oral steroids were prescribed in 62.5% of patients with gradual tapering. The mean BCVA was 20/87 at 3 months. Almost all patients experienced a complete resolution of ophthalmoplegia and ptosis at 3 months. Residual mydriasis was observed in 37.5% of patients. We proposed a schematic diagram describing the course of HZO-OAS.</p><p><strong>Conclusion: </strong>HZO-OAS is a rare but devastating complication occurring mainly in older and immunosuppressed patients despite treatment with oral antivirals. Early identification and treatment with intravenous acyclovir combined with steroids appear to be essential.</p>","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-12"},"PeriodicalIF":2.3,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145150770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lacrimal History - Part 56: Doyens of Dacryology Series - The Clinicoanatomical Works of Joseph von Gerlach (1820-1896), Heinrich Heinlein, Jean Riolan (1577-1657), and Florent Cunier (1812-1853).","authors":"Mohammad Javed Ali","doi":"10.1080/08820538.2025.2566600","DOIUrl":"https://doi.org/10.1080/08820538.2025.2566600","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-9"},"PeriodicalIF":2.3,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lacrimal History - Part 50: Doyens of Dacryology Series - The Surgical Treatises of Dominique Anel (1679-1730) and His Concepts of the Dropsy of the Lacrimal Ducts.","authors":"Mohammad Javed Ali","doi":"10.1080/08820538.2025.2565076","DOIUrl":"https://doi.org/10.1080/08820538.2025.2565076","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-5"},"PeriodicalIF":2.3,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lacrimal History - Part 60: Doyens of Dacryology Series - Emil Huschke (1797-1858) and His Concepts of the Lacrimal Drainage Anatomy.","authors":"Mohammad Javed Ali","doi":"10.1080/08820538.2025.2565077","DOIUrl":"https://doi.org/10.1080/08820538.2025.2565077","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-4"},"PeriodicalIF":2.3,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lacrimal History - Part 57: Doyens of Dacryology Series - Anel's Fight Back Through Correspondence and His Apologetic Discourse.","authors":"Mohammad Javed Ali","doi":"10.1080/08820538.2025.2562767","DOIUrl":"https://doi.org/10.1080/08820538.2025.2562767","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-8"},"PeriodicalIF":2.3,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lacrimal History - Part 54: Doyens of Dacryology Series - Jean-Paul Adenis (1947-).","authors":"Mohammad Javed Ali, Bhupendra C K Patel","doi":"10.1080/08820538.2025.2562768","DOIUrl":"https://doi.org/10.1080/08820538.2025.2562768","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-4"},"PeriodicalIF":2.3,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}