作者: Thibaud Mathis , Petter Hofverberg , Jean-Pierre Caujolle , Joël Hérault , Cécilia Leal
DOI: 10.1016/J.AJO.2018.05.006
关键词: Optic disc 、 Ocular Tumor 、 Young age 、 Retinal ganglion 、 Single Center 、 Phosphene 、 In patient 、 Ophthalmology 、 Prospective cohort study 、 Medicine
摘要: PURPOSE Phosphenes are frequently reported by patients irradiated in the head and neck area. The aim of present study was to characterize investigate potential mechanisms proton beam therapy (PBT)-induced phosphenes a large population undergoing PBT for ocular tumors. DESIGN Prospective cohort study. METHODS Consecutive who underwent single center were included. Immediately after first session, all completed questionnaire collecting information about presence as well their color, shape, duration. Patient, tumor treatment characteristics (dose volume histograms) also collected. RESULTS Among 474 included, 62.8% during session PBT. Reported colors mainly blue-violet (70.5%) white (14.1%). prevalence higher younger (P = .003); other patient or not associated with occurrence phosphenes. Irradiation macula (P < .001) and/or optic disc significantly phosphenes, whereas color only young age irradiation macular area .04). Pupillary constriction 57.1% vs 18.5% without .001). Blue-violet statistically pupillary constriction. CONCLUSIONS high rate tumor. Their association probably indicates stimulation S-cones retinal ganglion cells that reflects activation afferent visual pathway.