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Article: Rhegmatogenous retinal detachment after transscleral local resection of choroidal melanoma

TitleRhegmatogenous retinal detachment after transscleral local resection of choroidal melanoma
Authors
Issue Date2002
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/ophtha
Citation
Ophthalmology, 2002, v. 109 n. 11, p. 2137-2143 How to Cite?
AbstractObjective: To report on the incidence and outcome of rhegmatogenous retinal detachment after transscleral local resection of choroidal melanoma. Design: Prospective, noncomparative, interventional case series. Participants: One hundred fifty-six patients with choroidal melanoma treated by transscleral local resection between January 1993 and June 2000. Intervention: Transscleral choroidectomy or cyclochoroidectomy for uveal melanoma, with ocular decompression by single-port pars plana vitrectomy and, in most patients, adjunctive ruthenium plaque radiotherapy. Main Outcome Measures: Incidence of rhegmatogenous retinal detachment according to predictive factors and outcomes reported in terms of anatomic success, visual acuity, and ocular conservation. Results: Rhegmatogenous retinal detachment occurred in 28 (18%) eyes and was significantly more common in patients with thick tumors (Cox univariate analysis, P = 0.001) and in males (Cox univariate analysis, P = 0.013), with posterior tumor extension being of borderline significance (Cox univariate analysis, P = 0.069). Surgical treatment of the retinal detachment was performed in 25 patients; it was undertaken at our center in 22 patients and at the referring hospital in 3 patients. Anatomic success was achieved in 21 (84%) of these 25 patients, with 7 eyes retaining counting fingers vision, and 3 eyes seeing 6/60 or better. Ten eyes treated for retinal detachment were enucleated because of recurrent tumor (four eyes), retinal detachment (three eyes), wound dehiscence (one eye), phthisis (one eye), and poor visual acuity (one eye). Eleven eyes known to have a retinal tear underwent prophylactic vitreoretinal surgery at the end of the local resection, with only one (9%) of these subsequently developing retinal detachment. Conclusions: Rhegmatogenous retinal detachment after transscleral choroidectomy or cyclochoroidectomy for uveal melanoma is a serious complication requiring early vitreoretinal surgery. © 2002 by the American Academy of Ophthalmology, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/146266
ISSN
2015 Impact Factor: 6.75
2015 SCImago Journal Rankings: 4.745
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorDamato, Ben_HK
dc.contributor.authorGroenewald, CPen_HK
dc.contributor.authorMcGalliard, JNen_HK
dc.contributor.authorWong, Den_HK
dc.date.accessioned2012-04-10T01:49:49Z-
dc.date.available2012-04-10T01:49:49Z-
dc.date.issued2002en_HK
dc.identifier.citationOphthalmology, 2002, v. 109 n. 11, p. 2137-2143en_HK
dc.identifier.issn0161-6420en_HK
dc.identifier.urihttp://hdl.handle.net/10722/146266-
dc.description.abstractObjective: To report on the incidence and outcome of rhegmatogenous retinal detachment after transscleral local resection of choroidal melanoma. Design: Prospective, noncomparative, interventional case series. Participants: One hundred fifty-six patients with choroidal melanoma treated by transscleral local resection between January 1993 and June 2000. Intervention: Transscleral choroidectomy or cyclochoroidectomy for uveal melanoma, with ocular decompression by single-port pars plana vitrectomy and, in most patients, adjunctive ruthenium plaque radiotherapy. Main Outcome Measures: Incidence of rhegmatogenous retinal detachment according to predictive factors and outcomes reported in terms of anatomic success, visual acuity, and ocular conservation. Results: Rhegmatogenous retinal detachment occurred in 28 (18%) eyes and was significantly more common in patients with thick tumors (Cox univariate analysis, P = 0.001) and in males (Cox univariate analysis, P = 0.013), with posterior tumor extension being of borderline significance (Cox univariate analysis, P = 0.069). Surgical treatment of the retinal detachment was performed in 25 patients; it was undertaken at our center in 22 patients and at the referring hospital in 3 patients. Anatomic success was achieved in 21 (84%) of these 25 patients, with 7 eyes retaining counting fingers vision, and 3 eyes seeing 6/60 or better. Ten eyes treated for retinal detachment were enucleated because of recurrent tumor (four eyes), retinal detachment (three eyes), wound dehiscence (one eye), phthisis (one eye), and poor visual acuity (one eye). Eleven eyes known to have a retinal tear underwent prophylactic vitreoretinal surgery at the end of the local resection, with only one (9%) of these subsequently developing retinal detachment. Conclusions: Rhegmatogenous retinal detachment after transscleral choroidectomy or cyclochoroidectomy for uveal melanoma is a serious complication requiring early vitreoretinal surgery. © 2002 by the American Academy of Ophthalmology, Inc.en_HK
dc.languageengen_US
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/ophthaen_HK
dc.relation.ispartofOphthalmologyen_HK
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshChoroid Neoplasms - Pathology - Radiotherapy - Surgeryen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMelanoma - Pathology - Radiotherapy - Surgeryen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNeoplasm Recurrence, Localen_US
dc.subject.meshPostoperative Complicationsen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshRadiotherapy, Adjuvanten_US
dc.subject.meshRetinal Detachment - Etiologyen_US
dc.subject.meshSclera - Surgeryen_US
dc.subject.meshVitrectomyen_US
dc.titleRhegmatogenous retinal detachment after transscleral local resection of choroidal melanomaen_HK
dc.typeArticleen_HK
dc.identifier.emailWong, D: shdwong@hku.hken_HK
dc.identifier.authorityWong, D=rp00516en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/S0161-6420(02)01240-Xen_HK
dc.identifier.pmid12414429-
dc.identifier.scopuseid_2-s2.0-0036840518en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036840518&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume109en_HK
dc.identifier.issue11en_HK
dc.identifier.spage2137en_HK
dc.identifier.epage2143en_HK
dc.identifier.isiWOS:000178778600050-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridDamato, B=7004650563en_HK
dc.identifier.scopusauthoridGroenewald, CP=6601917086en_HK
dc.identifier.scopusauthoridMcGalliard, JN=7003380072en_HK
dc.identifier.scopusauthoridWong, D=7401536078en_HK

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