Purpose. To evaluate the efficacy of iridocyclectomy in selected cases of ocular melanoma. Methods. Retrospective analysis of 18 consecutive cases of ocular melanoma managed by lamellar iridocyclectomy. Results. There were 11 females and 7 males with a mean age of 53.3 years. The majority of tumors were located in the iris and ciliary body. Seven were spindle cell and 7 were mixed cell type. The most frequently observed complications were immediate post-operative vitreous hemorrhage(44%), and late post-operative cataracts(28%) and increased intraocular pressure(28%). Enucleation was ultimately required in 7 cases and was strongly associated with tumor size. Final visual acuity was 20/30 or better in 9 of 11 preserved eyes. One death occurred. Conclusions. Surgical resection of anteriorly located choroidal melanomas is a reasonable option for patients with tumors measuring < 8mm in maximal chord length.
|Journal||Investigative Ophthalmology and Visual Science|
|State||Published - Feb 15 1996|