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KMID : 1164219970090010040
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Journal of Korean Society for Radiotherapeutic Technology
1997 Volume.9 No. 1 p.40 ~ p.45
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The Use of Lens Shielding Device(L.S.D.) for a Conjunctival Lymphoma
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Cho Hyun-Sang
Ju Sang-Gyu
Song Ki-Won
Park Young-Hwan
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Abstract
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When therapeutic irradiation is indicated for the orbital tumors, the greatest concern is the risk of radiation-induced cataract. Conjunctival lymphoma is one of the good examples. We would like to report the procedure of the lens shielding device(L.S.D) and the result of irradiated dose to the lens. L.S.D. consistes of two parts : load alloy to attenuate electron beam, and dental acryl which completely covers the lead alloy to avoid discomfort of cornea from contacting directly with cerrobend and side scattering by cerrobend. And for easy location and removal, side bars were made on each side. Radiation doses were meaured with TLD(TLD 3500 Hawshaw). Markus chamber in a polystyrene phantom. The phantom was irradiated with 9MeV electron beams from Clinac 2100C with electron cone. The relative dose at 6mm depth where the lens is located was with TLD and with Markus chamber clinically when 2600 cGy are irradiated to the eyeball, the mapinary dose to the lens will be 109 cGy or 132 cGy, which will significently reduce the cataract.
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KEYWORD
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lens shielding device(L.S.D.), conjunctival lymphoma, complication, resin, cataract
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