Aplicación de la radioterapia como alternativa terapéutica en la enfermedad de Graves-Basedow. Nuestra experiencia
- Delgado Miranda, José Luis
- Álvarez Marín, Jorge
- Montesinos Ventura, B.
- Fuentes Sánchez, Claudio
- Serrano Alvarez-Bouylla, A.
ISSN: 0211-2698
Year of publication: 2003
Issue: 14
Pages: 33-35
Type: Article
More publications in: Archivos de la Sociedad Canaria de Oftalmología
Abstract
Purpose: To evaluate the therapeutic effect of radiotherapy in Graves-Basedow disease. Material and methods: We studied 18 eyes of 10 patients whose retrobulbar region was irradiated with a megavolt machine of 4-6 MV, using 2 parallel and opposed fields. A total dose of 20 Gy was given in 10 fractions. Follow up period was 5 years. Results: 80% of patients treated had a good response to radiotherapy. Its beneficial effects were seen at the 2nd or 3rd month after treatment, with a progressive reduction in their proptosis and restrictive myopathy. No surgical orbital decompression was needed. Conclusion: Radiotherapy is an effective treatment for Graves disease¿s orbitopathy, with no significant adverse effects.