Intravitreal Faricimab Injections or Fluocinolone Acetonide (0.19 mg) Intravitreal Implants vs Observation for Prevention of VA Loss Due to Radiation Retinopathy

Inclusion Criteria

• Primary uveal melanoma (excluding iris melanoma) receiving primary treatment with plaque brachytherapy
• Absence of unrelated cause of visual loss
• Baseline visual acuity ≥ 34 letters (20/200 Snellen equivalent or better)
• Posterior tumor margin >0 mm from the center of the macula (i.e., tumor is NOT under the geometric center of the fovea)
• Posterior tumor margin >0 mm from the closest disc margin (i.e., tumor is not touching the edge of the optic disc)
• Calculated total dose to center of the macula ≥30 Gy Key

Exclusion Criteria

• Opaque media
• Inability to undergo fluorescein angiography
• Less than 18 years of age
• Prior vitrectomy
• Intraocular pressure (IOP) ≥ 25 mmHg or history of steroid- induced IOP elevation that required treatment at baseline
• IOP ≥ 25 mmHg at randomization or increase in IOP ≥ 8 mmHg from baseline to randomization (following steroid challenge