Brachytherapy on the Eyelid Case
Issue: Basal Cell Carcinoma, Eyelid
Procedure: Electronic Brachytherapy
Description: This patient presented with a basal cell carcinoma of the medial lower eyelid (image 1). The nasolacrimal duct was involved with tumor and surgical removal would be complicated by an extensive reconstructive surgery. Mohs surgery was recommended. However, the patient wanted to avoid outside repair with an oculoplastic surgeon so he opted for Electronic Brachytherapy treatments. The treatments were provided bi-weekly for 5 weeks during which the eyeball was protected using a lead contact-lens type shield. The area treated became inflamed, but did not hurt during therapy (image 2). The patient was very satisfied with the results (image 3).