[Trans-scleral resection of the ciliary body and choroidal melanoma].
OBJECTIVE
To present our preliminary results of trans-scleral resection of ciliary body and choroidal melanoma.


METHODS
16 patients aged 20-73 years (mean 56 years) were treated from February 1999 to March 2000. There were 10 patients with ciliary body tumors, 2 with choroidal tumors and in 4 patients the tumor involved ciliary body and choroid. The mean basal diameter of tumors was 9.4 mm and the mean thickness was 7.2 mm. Trans-scleral resection was performed in all cases. Adjunctive radiotherapy using 106Ru plaques was applied in 7 cases.


RESULTS
Histopathologically the diagnosis of melanoma was confirmed in all cases. In 10 cases there were spindle cell melanomas and in 6 mixed type. The intra-operative complications were vitreous hemorrhage in 3 patients, vitreous loss in three and both complications in one patient. Post-operative complications occurred in 3 cases of single instances each of retinal detachment, retinal edema and haemophthalmus. After surgery visual acuity did not change in 9 eyes, improved in 2 and deteriorated in 5 eyes.


CONCLUSIONS
Our preliminary results confirm the opinion that trans-scleral resection could be a valuable method in the treatment of intraocular melanoma.
Romanowska-Dixon
B
B
Z Kliniki i Katedry Okulistyki Collegium Medicum UJ w Krakowie.
Starzycka
M
M
Pogrzebielski
A
A
D000328:Adult; D000368:Aged; D002830:Choroid Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D002924:Ciliary Body / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008545:Melanoma / Q000532:radiotherapy / Q000601:surgery*; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D018714:Radiotherapy, Adjuvant; D016896:Treatment Outcome; D014604:Uveal Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D014792:Visual Acuity