PMID: 9003335Dec 1, 1996Paper

Block excision of tumors of the anterior uvea. Report on 68 consecutive patients

Ophthalmology
G O Naumann, V Rummelt

Abstract

This study describes the authors' surgical technique and the results in 68 consecutive patients with tumors of the iris and ciliary body involving the angle removed by block excision and tectonic corneoscleral grafting between 1980 and 1995. There were 41 (60.3%) women and 27 (39.7%) men whose ages ranged from 14 to 85 years (median, 41 years). Follow-up ranged from 0.5 to 15.2 years (median, 6.3 years). Tumors of the iris and ciliary body with chamber angle involvement were removed with a modified block excision consisting of simultaneous en bloc removal of the tumor with adjacent iris and cornea and sclera in full-thickness. The resulting defect of 6 to 20 mm (median, 9.0 mm) diameter is covered with a tectonic corneoscleral graft. Forty-nine tumors (72.1%) were classified as malignant tumors of the iris and ciliary body. Twenty-one (44.7%) of 47 malignant melanomas showed histologic evidence of scleral invasion of more than one third of scleral thickness. Extrascleral extension of the tumor was present in seven (14.9%) patients with malignant melanomas and in four (21.1%) patients with benign tumors of the iris and ciliary body. The 10-year survival probability of patients with malignant melanomas was 91.4%. The main intraop...Continue Reading

Citations

Jun 14, 2019·Journal of Ophthalmology·Emilio BalestrazziAngelo Balestrazzi
Aug 16, 2002·The Tohoku Journal of Experimental Medicine·Hiroshi OhguroMitsuru Nakazawa
May 12, 2010·Acta Ophthalmologica·Stefan KlauberSvend V Kessing
Jun 21, 2017·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·Aline I RiechardtJohannes Gollrad
Dec 6, 2018·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·J M MorL M Heindl
Apr 12, 2014·Eye·I Rospond-Kubiak, B Damato
Jul 31, 2010·Acta Ophthalmologica·Lubna RazzaqRob J W de Keizer
Jun 11, 2017·The British Journal of Ophthalmology·Umiya AgravalVikas Chadha
Nov 27, 2020·Klinische Monatsblätter für Augenheilkunde·Joel M MorLudwig M Heindl
Aug 11, 2021·Klinische Monatsblätter für Augenheilkunde·Nikolaos E BechrakisAntonia M Joussen
Nov 7, 2009·American Journal of Ophthalmology·Bruno F FernandesErnest Rand Simpson

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