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Exoresection via partial lamellar sclerouvectomy approach for uveal tumors: A successful performance by a novice surgeon.

Kurt RA, Gündüz K - Clin Ophthalmol (2010)

Bottom Line: Exoresection seems to be an effective treatment option in selected cases of iridociliary and ciliary body tumors.Novice surgeons with limited training in PLSU should not discourage themselves from doing this type of surgery.Several postoperative complications inevitably occur and require frequent patient monitoring.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Ankara University Faculty of Medicine, Ankara, Turkey.

ABSTRACT

Purpose: To evaluate the results and complications of exoresection via a partial lamellar sclerouvectomy (PLSU) procedure for uveal tumors performed by a novice surgeon without help from an experienced surgeon.

Methods: Medical records of 22 patients who underwent exoresection for uveal tumors between February 1999 and January 2009 were evaluated retrospectively. Exoresection was considered for tumors with their epicenter in the iris or in the ciliary body.

Results: Twenty-two patients with a mean age of 45.9 years (range: 19-72 years) were included in this study. The histopathologic diagnosis was uveal malignant melanoma in 16 patients, iridociliary nevus in 2 patients, iris nevus in 2 patients, and iridociliary melanocytoma in 2 patients. Postoperative complications included cataract in 11 patients (50%), scleral thinning in 4 patients (18%), vitreous hemorrhage in 2 patients (9%), hyphema in 2 patients (9%), secondary glaucoma in 2 patients (9%), iridodialysis in 1 patient (4.5%), bullous keratopathy in 1 patient (4.5%), and posterior synechiae in 1 patient (4.5%). At a mean follow-up of 40.1 months (range: 1-98 months), there were no recurrences or metastatic events.

Conclusions: Exoresection seems to be an effective treatment option in selected cases of iridociliary and ciliary body tumors. Novice surgeons with limited training in PLSU should not discourage themselves from doing this type of surgery. Several postoperative complications inevitably occur and require frequent patient monitoring.

No MeSH data available.


Related in: MedlinePlus

Inferiorly located iridociliary melanoma.
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f1a-opth-4-059: Inferiorly located iridociliary melanoma.

Mentions: The initial Snellen visual acuity ranged from hand motions to 10/10. On the logMAR scale, initial visual acuity ranged from 0–1.9 with a mean of 0.5 logMAR. The mean preoperative IOP was 16.3 mmHg (range: 11–34 mmHg). Although focal cataract and notching of the lens were noted in the lens overlying the tumor, none of the patients had significant cataracts necessitating extraction. Tumor base at the largest point ranged from 1.5 mm to 15.0 mm (mean: 7.5 mm). Tumor thickness ranged from 0.9 to 7.0 mm (mean: 3.1 mm). All tumors were pigmented. The tumor was located in the nasal quadrant in 10 eyes (45.5%), in the temporal quadrant in 7 eyes (32%), in the inferior quadrant in 4 eyes (18%), and in the superior quadrant in 1 eye (4.5%). The tumor was located in both the iris and ciliary body (iridociliary) in 11 eyes (50%) (Figure 1a), in the iridocorneal angle in 6 eyes (27%), in the ciliary body in 3 eyes (14%), in the choroid and ciliary body (ciliochoroidal) in 1 eye (4.5%), and in the iris, ciliary body and choroid in one eye (4.5%) (Figure 2a) .


Exoresection via partial lamellar sclerouvectomy approach for uveal tumors: A successful performance by a novice surgeon.

Kurt RA, Gündüz K - Clin Ophthalmol (2010)

Inferiorly located iridociliary melanoma.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2819770&req=5

f1a-opth-4-059: Inferiorly located iridociliary melanoma.
Mentions: The initial Snellen visual acuity ranged from hand motions to 10/10. On the logMAR scale, initial visual acuity ranged from 0–1.9 with a mean of 0.5 logMAR. The mean preoperative IOP was 16.3 mmHg (range: 11–34 mmHg). Although focal cataract and notching of the lens were noted in the lens overlying the tumor, none of the patients had significant cataracts necessitating extraction. Tumor base at the largest point ranged from 1.5 mm to 15.0 mm (mean: 7.5 mm). Tumor thickness ranged from 0.9 to 7.0 mm (mean: 3.1 mm). All tumors were pigmented. The tumor was located in the nasal quadrant in 10 eyes (45.5%), in the temporal quadrant in 7 eyes (32%), in the inferior quadrant in 4 eyes (18%), and in the superior quadrant in 1 eye (4.5%). The tumor was located in both the iris and ciliary body (iridociliary) in 11 eyes (50%) (Figure 1a), in the iridocorneal angle in 6 eyes (27%), in the ciliary body in 3 eyes (14%), in the choroid and ciliary body (ciliochoroidal) in 1 eye (4.5%), and in the iris, ciliary body and choroid in one eye (4.5%) (Figure 2a) .

Bottom Line: Exoresection seems to be an effective treatment option in selected cases of iridociliary and ciliary body tumors.Novice surgeons with limited training in PLSU should not discourage themselves from doing this type of surgery.Several postoperative complications inevitably occur and require frequent patient monitoring.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Ankara University Faculty of Medicine, Ankara, Turkey.

ABSTRACT

Purpose: To evaluate the results and complications of exoresection via a partial lamellar sclerouvectomy (PLSU) procedure for uveal tumors performed by a novice surgeon without help from an experienced surgeon.

Methods: Medical records of 22 patients who underwent exoresection for uveal tumors between February 1999 and January 2009 were evaluated retrospectively. Exoresection was considered for tumors with their epicenter in the iris or in the ciliary body.

Results: Twenty-two patients with a mean age of 45.9 years (range: 19-72 years) were included in this study. The histopathologic diagnosis was uveal malignant melanoma in 16 patients, iridociliary nevus in 2 patients, iris nevus in 2 patients, and iridociliary melanocytoma in 2 patients. Postoperative complications included cataract in 11 patients (50%), scleral thinning in 4 patients (18%), vitreous hemorrhage in 2 patients (9%), hyphema in 2 patients (9%), secondary glaucoma in 2 patients (9%), iridodialysis in 1 patient (4.5%), bullous keratopathy in 1 patient (4.5%), and posterior synechiae in 1 patient (4.5%). At a mean follow-up of 40.1 months (range: 1-98 months), there were no recurrences or metastatic events.

Conclusions: Exoresection seems to be an effective treatment option in selected cases of iridociliary and ciliary body tumors. Novice surgeons with limited training in PLSU should not discourage themselves from doing this type of surgery. Several postoperative complications inevitably occur and require frequent patient monitoring.

No MeSH data available.


Related in: MedlinePlus