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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

Scleral thinning in the superonasal quadrant of an eye that underwent partial lamellar sclerouvectomy for an iridociliary melanoma.
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f3-opth-4-059: Scleral thinning in the superonasal quadrant of an eye that underwent partial lamellar sclerouvectomy for an iridociliary melanoma.

Mentions: The tumors were excised completely in all cases (Figures 1b, 2b, 2d, 3). Intraoperative complications included minor bleeding from the resection site, which occurred in almost all cases and was usually limited. Vitreous loss developed in 10 of the 20 eyes with iris and/or ciliary tumors and was treated with vitrectomy at the wound margins. The histopathologic diagnosis was uveal malignant melanoma in 16 eyes (iridocorneal angle melanoma in 6 eyes, iridociliary melanoma in 5 eyes, ciliary melanoma in 3 eyes, ciliochoroidal melanoma in 1 eye, iridociliochoroidal melanoma in 1 eye), iridociliary nevus in 4 patients, and iridociliary melanocytoma in 2 patients.


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

Kurt RA, Gündüz K - Clin Ophthalmol (2010)

Scleral thinning in the superonasal quadrant of an eye that underwent partial lamellar sclerouvectomy for an iridociliary melanoma.
© Copyright Policy
Related In: Results  -  Collection

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

f3-opth-4-059: Scleral thinning in the superonasal quadrant of an eye that underwent partial lamellar sclerouvectomy for an iridociliary melanoma.
Mentions: The tumors were excised completely in all cases (Figures 1b, 2b, 2d, 3). Intraoperative complications included minor bleeding from the resection site, which occurred in almost all cases and was usually limited. Vitreous loss developed in 10 of the 20 eyes with iris and/or ciliary tumors and was treated with vitrectomy at the wound margins. The histopathologic diagnosis was uveal malignant melanoma in 16 eyes (iridocorneal angle melanoma in 6 eyes, iridociliary melanoma in 5 eyes, ciliary melanoma in 3 eyes, ciliochoroidal melanoma in 1 eye, iridociliochoroidal melanoma in 1 eye), iridociliary nevus in 4 patients, and iridociliary melanocytoma in 2 patients.

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