PMID: 15218763Jun 29, 2004Paper

Secondary retinal detachment accompanying intraocular tumors

Klinika oczna
Jarosław KocieckiAbdul Walki Alugail

Abstract

Aim of the study--the attempt to answer, what is the present incidence mechanism of arising, and what parameters can influence the development of secondary retinal detachment (s. r. d.) caused by intraocular choroidal tumor. 107 eyes of 105 consecutive patients aged 21 to 82 years (mean 62 years), diagnosed clinically as having choroidal malignant tumor, were evaluated. All patients were examined clinically including examination of anterior segment and fundus, ultrasonography and fluorescein angiography of the eye. Eyes qualified for enucleation were also examined histopathologically. Out of all evaluated eyes s. r. d. was observed in 27 eyes (26 cases--25%). Exclusively in this group it occurred in 16 women (62%) and 10 men (38%). Right eye was involved in 10 cases, left eye in 15 and in 1 case both eyes were involved. The cause of s. r. d. was primary malignant choroidal tumor and in 3 cases--metastatic tumor. The therapy included brachytherapy, diode laser transpupillary thermotherapy (TTT), chemotherapy, local tumor excision and combined treatment. The s. r. d. was observed in cases of small tumors (2.77 mm) as well as very large ones (up to 11.56 mm). After therapy the detachment conceded in 10 eyes (37%). Analysis of clin...Continue Reading

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