JAMA Ophthalmology · 2013 · 92 citations · 5 references
MedicineRadiation OncologySurgeryOncologic SurgeryStrabismusSurgical OncologyIntraocular TumorsScleral SurgeryStrabismus SurgeryAutofluorescenceFundus Autofluorescence ImagingFundus Autofluorescence PatternsLocalized Treatment ZonesOcular Fundus AutofluorescencePerforating Scleral InjuryTumor Bed DelineationTumor Localization
suture track created from tantalum marker placement. There are no reports of scleral perforation during tantalum marker or plaque placement. However, it is known that scleral perforation can occur during strabismus (0.8% to 1.8%) and scleral buckle surgery (2.5%). Presumably, a needle pass penetrated the tumor to provide an avenue for tumor cells to spread beyond the highly localized treatment area of the proton beam. This case demonstrates the vigilance that must be taken in tantalum marker placement, tumor delineation, and timely delivery of an adequate dose of radiotherapy.
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