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  5. Treatment of ocular tumors

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Center for Proton Therapy (CPT)

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Treatment of ocular tumors

Positioning control for eye radiation
Positioning control for eye radiation

The program of ocular proton therapy (using protons to treat patients who suffer from tumors of the eye) runs at PSI since 1984. There is one radiation unit (OPTIS 2) for the treatment of ocular melanomas.

Preparation for Treatment

Before a definite decision is made for proton treatment, all patients are examined in detail at the referring eye clinic (Hôpital Ophtalmique Jules Gonin Lausanne , Eye clinic University of Essen , Eye clinic Innsbruck, Eye clinic University of Zürich). The referral of patients for proton therapy is fully in the competence of the ophthalmologist. Patients eligible for proton therapy will undergo surgery during which several small clips are sutured on the sclera (eye surface) in the proximity of the tumor. These clips will allow localization of tumor during the treatment with sub-millimeter accuracy. Patient arrives at PSI typically a few days after the surgery. Upon arrival, patient receives general information about treatment and undergoes steps necessary for the preparation of treatment. This includes creating an individual face mask with a small bite block, which helps the patient to keep his head completely still during treatment. In the next step, x-ray imaging of an eye is performed. These images are necessary for preparation of a treatment plan and for the later alignment of patient in front of the proton beam. After the imaging, patient leaves home and additional preparatory steps are performed in his absence. All prepared treatment plans are consulted with the referring ophthalmologists.

Administration of the Treatment

The treatment takes place at PSI on an out-patient basis, in the following week on 5 consecutive days and consists of a dry-run and a series of four treatments. During the dry-run, we verify whether there are not any limitations and patient positioning and treatment can be done in the fashion as intended in the treatment plan. The total dose delivered to the tumor is typically 60 Gy RBE. This dose is divided into four daily fractions of 15 Gy RBE. The irradiation itself lasts only about 60 seconds. However, the whole procedure requires about 20 minutes every day. Most of time is spend on the positioning of patient with the sub-millimeter accuracy. In order to keep the eye in the desired position for treatment, the patient must stare on an exactly calculated point of light. Before each treatment the position of the eye and the tumor are checked by means of x-ray images. The treatment is painless. In most cases the whole procedure, including surgery, takes approximately two to three weeks.
 

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Paul Scherrer Institute
Center for Proton Therapy
5232 Villigen PSI West, Switzerland
Reception PSI West

For any questions related to the treatment of eye tumors please refer to our secretary
Mrs. Jolanda Meier Dainese:
Tel: +41 56 310 35 35
Fax: +41 56 310 35 15
E-mail: protonentherapie@psi.ch

Head and Chairman:
Prof. Dr. med.
Damien Charles Weber

Video for the treatment of eye tumors
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Protons for Children

Especially children can profit from treatment with protons

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