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Endoresection or not?
Author(s) -
Bechrakis N.E.
Publication year - 2016
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2016.0031
Subject(s) - medicine , resection , surgical resection , retinal detachment , surgery , ischemia , neovascularization , uvea , glaucoma , ophthalmology , eye disease , retinal , angiogenesis
Summary Eye salvaging treatment of large uveal melanomas by primary irradiation bear the risk of severe secondary complications due to tumour regression. The so called „toxic tumour syndrome’ comprises a multitude of such problems such as retinal detachment, ocular ischemia, melanomalytic reactions, secondary glaucoma either by neovascularization or by tumour debris deposition or both. Surgical resection of tumours addresses these issues. Surgical resection can be performed either as an endoresection or as by means of transscleral resection. Both surgical procedures are challenging and pose by themselves some risks, which need to be addressed appropriately.