title: [Lacrimal sac melanoma].
abstract: Mean stage (NOSPECS classification) at time of surgery was 4.5 (range 2-6). Mean stage postoperatively was 2.4 (range 0-5). Comparison of the mean stages showed significant improvement of ocular protrusion: 1.55 (range 1-2) postoperatively versus 2.4 preoperatively. Among the patients with optic neuropathy (stage 6, n=12), 83% (10/12) normalized PEV with normal or clear improvement in visual acuity three months postop. Diplopy remained unchanged in 45% (5/11) and improved in 45% (5/11), worsening in one patient. Clinical regression of the exophthalmia, irrespective of the intensity initially, was noted in 93% of patients at six months postop. All patient had overall improvement in the position of the eyelids at rest..
authors.affiliation: Service de chirurgie maxillo-faciale, Hôpitaux Nord, 93, Grande Rue de la Croix-Rousse, 69317 Lyon Cedex 04.
authors.forename: A
authors.initials: A
authors.lastname: Gleizal
authors.forename: N
authors.initials: N
authors.lastname: Nimeskern
authors.forename: L
authors.initials: L
authors.lastname: Kodjikian
authors.forename: J-L
authors.initials: JL
authors.lastname: Beziat
mesh_terms: D001859:Bone Neoplasms / Q000556:secondary*; D005134:Eye Neoplasms / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007085:Ilium; D007765:Lacrimal Apparatus / Q000601:surgery*; D008545:Melanoma / Q000556:secondary* / Q000601:surgery*; D008875:Middle Aged; D009367:Neoplasm Staging; D013508:Ophthalmologic Surgical Procedures; D018714:Radiotherapy, Adjuvant