Health Condition 1: C693- Malignant neoplasm of choroid
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: A) CHOROIDAL MELANOMA 1. GAMMA KNIFE 1. Small,medium and large choroidal melanoma according to COMS Classification. 2. Patients giving consent for the study 2. RUTHENIUM PLAQUE BRACHYTHERAPY 1. Small to medium(thickness melanoma according to COMS Classification. 2. Patients giving consent for the study B) IRIS/CILIARY MELANOMA 1. GAMMA KNIFE 1. Involvement of 1-6 clock hours of iris 2. Largest basal dimension of tumor >3 mm 3. Patients giving consent for the study 2) RUTHENIUM PLAQUE BRACHYTHERAPY 1. Involvement of 1-6 clock hours of iris 2. Largest basal dimension of tumor >3 mm 3. Patients giving consent for the study
Exclusion criteria
Exclusion criteria: A) CHOROIDAL MELANOMA 1. GAMMA KNIFE 1. Tumors with gross extraocular extension 2. Patients with painful blind eye 3. Presenting with metastatic choroidal melanoma 2. RUTHENIUM PLAQUE BRACHYTHERAPY 1. Tumors with gross extraocular extension 2. Patients with painful blind eye 3. Presenting with metastatic choroidal melanoma B) IRIS/ CILIARY BODY MELANOMA 1. GAMMA KNIFE 1. Seeding in anterior chamber 2. Melanomas with secondary glaucoma 3. Scleral/extraocular extension 4. Tapioca/ Ring Melanoma 2. RUTHENIUM PLAQUE BRACHYTHERAPY 1. Seeding in anterior chamber 2. Melanomas with secondary glaucoma 3. Scleral/extraocular extension 4. Tapioca/ Ring Melanoma
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Globe salvage rate-percentage of cases where enucleation was not required 2. Local tumor control- %decrease in tumor diameter and height on USG. 3. Vision salvage rate-assessing post procedure visual outcomes 4. Local recurrence of tumor 5. Need for enucleation 6. Occurence of Extraocular extension 7. Occurence of Distant metastasisTimepoint: 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Development of local complications subsequent to therapy: 1. Radiation Retinopathy 2. Radiation optic neuropathy 3. Glaucoma 4. Radiation Maculopathy 5. Cataract 6. Corneal ErosionsTimepoint: 1 month, 2 month,3 month,4 month,5 month,6 month | — |
Countries
India
Contacts
All India Institute of Medical Sciences, New Delhi