title: Internal eye wall resection in the management of uveal melanoma.
abstract: Twenty patients with presumed uveal melanoma underwent internal eye wall resection. It was the primary procedure in 13 patients who had tumours within 2 disc diameters of the optic nerve head and was combined with external resection in the remainder. Malignant melanoma was confirmed histologically in 15 patients; the diagnosis was a benign tumour in the other 5. The length of follow-up ranged from 2 to 37 (mean 19) months. In all cases the retina was completely attached at the time of last examination. The visual acuity ranged from 20/40 to hand movements; nine patients had an acuity of 20/400 or better. At the time of writing no metastatic disease or local recurrence had developed in any of the 15 patients in whom malignant melanoma was diagnosed.
authors.affiliation: LSU Eye Center, Louisiana State University Medical Center School of Medicine, New Orleans 70112.
authors.forename: G A
authors.initials: GA
authors.lastname: Peyman
authors.forename: H
authors.initials: H
authors.lastname: Charles
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002386:Cataract / Q000209:etiology; D002387:Cataract Extraction; D002648:Child; D006801:Humans; D007429:Intraocular Pressure; D007431:Intraoperative Complications; D008488:Medical Illustration; D008545:Melanoma / Q000601:surgery*; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D011183:Postoperative Complications; D011184:Postoperative Period; D012086:Reoperation; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery; D014604:Uveal Neoplasms / Q000601:surgery*; D014792:Visual Acuity; D014823:Vitreous Hemorrhage / Q000209:etiology