Bilateral episcleral brachytherapy in simultaneous choroidal melanoma and circumscribed hemangioma

PURPOSE To describe the efficacy of episcleral brachytherapy in a choroidal melanoma and circumscribed hemangioma arising in both eyes of the same patient. CASE REPORT We present the case of a 47 year old man who presented decreased visual acuity a few months preceding initial consult. On fundoscopy, he presented a melanotic lesion in the right eye, and a red-orange choroidal mass in the macular area of the left eye. MATERIAL AND METHODS B scan-ultrasound, fluorescein, and indocyanine green angiography, confirmed the diagnosis of choroidal melanoma in the right eye, and circumscribed choroidal hemangioma in the left eye. Episcleral brachytherapy with (125)I was performed in both eyes consecutively. RESULTS AND CONCLUSIONS Bilateral episcleral brachytherapy successfully treated both tumors, preserving the eyes and useful visual function.