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Past Issue Volume 8, Number 5, October 2006
Oral Radioactive Iodine for the Treatment of Orbital Metastasis of Carcinoma of the Thyroid

Juliette O Howden,1 Anne Maree Kean,2 Raf Ghabrial1,3

1Save Sight Institute, University of Sydney, 2Department of Endocrinology, Prince Alfred Hospital, and 3Sydney Oculoplastic Surgery, Sydney, Australia

This report describes a case of orbital metastasis as the primary manifestation of thyroid carcinoma. A 70-year-old woman presented with a 1-month history of left ptosis and painful swelling in the periorbital region associated with reduced vision. Orbital biopsy revealed metastatic follicular carcinoma of the thyroid. She underwent a total thyroidectomy and has been treated with 4 doses of oral radioactive iodine. Following 2 doses of radioactive iodine, the left orbital mass began to regress and the ptosis was clinically reduced.

Key words:
Iodine radioisotopes, Orbital neoplasms, Thyroid neoplasms

Asian J Ophthalmol
2006;8:205-207.
 
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