Endoresection of a high equatorial choroidal melanoma.
OBJECTIVE
To describe previously unreported endoresection of a high equatorial choroidal melanoma.


METHODS
Surgical case report imaged with wide-angle retinography and angiography, ecography, optical coherence tomography, and a short video of surgical procedure.


RESULTS
The authors describe a 9.68-mm thick mushroom-shaped equatorial melanoma, which was successfully treated by endoresection. A wide-field lens and scleral indentation allowed complete tumor removal by the vitrectomy probe. Liquid perfluorocarbon stabilized the retina, therefore laser endophotocoagulation was applied to tumor margins and the scleral bed. Silicone oil was left as a tamponade, and a ruthenium-106 plaque for radiation therapy was sutured to the episclera. Eleven months after endoresection surgery, there were no signs of systemic or local recurrences.


CONCLUSIONS
Endoresection of an equatorial choroidal melanoma was shown to be a safe technique in this patient, allowing the preservation of anatomy and function of the eye. It should be considered as an option for the treatment of large equatorial choroidal melanomas.
*Retina and Vitreous Department, Instituto de Microcirugía Ocular, Barcelona, Spain and Ophthalmology Department, Vall d'Hebron Hospital, Barcelona, Spain; and †Department of Ophthalmology, Vall d'Hebron Hospital, Barcelona, Spain.
Jose
J
Garcia-Arumi
Laura N
LN
Distefano
Claudia
C
Quijano
D002830:Choroid Neoplasms / Q000601:surgery*; D058450:Endotamponade / Q000379:methods; D005260:Female; D006801:Humans; D053685:Laser Therapy / Q000379:methods; D008545:Melanoma / Q000601:surgery*; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D012827:Silicone Oils / Q000008:administration & dosage; D016896:Treatment Outcome; D014604:Uveal Neoplasms / Q000601:surgery*; D014821:Vitrectomy; D000098943:Uveal Melanoma
D012827:Silicone Oils