title: Eyewall resection for a uveal malignant melanoma under local anesthesia.
abstract: A 44-year-old man was referred to our hospital for ciliary body tumor management. A uveal melanoma in the left eye without systemic metastasis was our impression after a series of examinations. We treated this patient with eyewall resection under local anesthesia. Eyewall resection was previously regarded as a complicated procedure that should be performed under general anesthesia. Our surgery was successful, and there were no complications related to the local anesthesia. We followed up this patient for 3 years, and no recurrence was found. Eyewall resection is a good alternative to enucleation for treating a ciliary body melanoma. Under a premise of survival, eyewall resection can maintain part of the visual function and cosmetics. General anesthesia is not indispensable when a patient's health does not allow its use.
authors.affiliation: Department of Ophthalmology, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC.
authors.forename: Yih-Shiou
authors.initials: YS
authors.lastname: Hwang
authors.forename: San-Ni
authors.initials: SN
authors.lastname: Chen
authors.forename: An-Ning
authors.initials: AN
authors.lastname: Chao
mesh_terms: D000328:Adult; D000772:Anesthesia, Local; D002648:Child; D006801:Humans; D008545:Melanoma / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D014604:Uveal Neoplasms / Q000601:surgery*