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Article: Retinal detachment after trans-scleral local resection of choroidal melanoma

TitleRetinal detachment after trans-scleral local resection of choroidal melanoma
Authors
Issue Date1996
PublisherAssociation for Research in Vision and Ophthalmology. The Journal's web site is located at http://www.iovs.org
Citation
Investigative Ophthalmology And Visual Science, 1996, v. 37 n. 3, p. S1133 How to Cite?
AbstractRhegmatogenous retinal detachment is one of the main complications of trans-scleral local resection of choroidal melanoma. Purpose. To determine the incidence and outcome of rhegmatogenous retinal detachment after trans-scleral local resection for choroidal melanoma. Methods. 67 patients with choroidal melanoma treated consecutively by choroidectomy (50) or cyclochoroidectomy (17) between 1993 and 1995 by a single surgeon (B.D.) were analysed prospectively. Results. Mean patient age was 48.5 yrs, tumour diameter was 13.1mm; tumour thickness was 8.4mm. 36% of tumours extended less than two disc diameters from disc or fovea and 52% extended anterior to ora serrata. Nine patients developed retinal detachment by the close of the study, with Kaplan Meier estimation showing a 14% actuarial rate at 93 days. Although Cox multivariate analysis did not identify any risk factors, the clinical impression is that the resections were technically difficult, because of optic disc involvement (1), extraocular extension (1), longstanding total exudative retinal detachment (1) and pathological tumour diameter more than 16mm (4). Vitreo-retinal surgery achieved anatomical success in 6/9 cases and by the close of the study the eye was retained in 7/9 cases. Conclusion. With appropriate surgical expertise, rhegmatogenous retinal detachment is an uncommon complication after trans-scleral local resection of choroidal melanoma, and can usually be treated successfully.
Persistent Identifierhttp://hdl.handle.net/10722/146296
ISSN
2015 Impact Factor: 3.427
2015 SCImago Journal Rankings: 2.008

 

DC FieldValueLanguage
dc.contributor.authorKent, Den_HK
dc.contributor.authorNoonan, CPen_HK
dc.contributor.authorCollur, Sen_HK
dc.contributor.authorWong, Den_HK
dc.contributor.authorDamato, BEen_HK
dc.date.accessioned2012-04-10T01:50:01Z-
dc.date.available2012-04-10T01:50:01Z-
dc.date.issued1996en_HK
dc.identifier.citationInvestigative Ophthalmology And Visual Science, 1996, v. 37 n. 3, p. S1133en_HK
dc.identifier.issn0146-0404en_HK
dc.identifier.urihttp://hdl.handle.net/10722/146296-
dc.description.abstractRhegmatogenous retinal detachment is one of the main complications of trans-scleral local resection of choroidal melanoma. Purpose. To determine the incidence and outcome of rhegmatogenous retinal detachment after trans-scleral local resection for choroidal melanoma. Methods. 67 patients with choroidal melanoma treated consecutively by choroidectomy (50) or cyclochoroidectomy (17) between 1993 and 1995 by a single surgeon (B.D.) were analysed prospectively. Results. Mean patient age was 48.5 yrs, tumour diameter was 13.1mm; tumour thickness was 8.4mm. 36% of tumours extended less than two disc diameters from disc or fovea and 52% extended anterior to ora serrata. Nine patients developed retinal detachment by the close of the study, with Kaplan Meier estimation showing a 14% actuarial rate at 93 days. Although Cox multivariate analysis did not identify any risk factors, the clinical impression is that the resections were technically difficult, because of optic disc involvement (1), extraocular extension (1), longstanding total exudative retinal detachment (1) and pathological tumour diameter more than 16mm (4). Vitreo-retinal surgery achieved anatomical success in 6/9 cases and by the close of the study the eye was retained in 7/9 cases. Conclusion. With appropriate surgical expertise, rhegmatogenous retinal detachment is an uncommon complication after trans-scleral local resection of choroidal melanoma, and can usually be treated successfully.en_HK
dc.languageengen_US
dc.publisherAssociation for Research in Vision and Ophthalmology. The Journal's web site is located at http://www.iovs.orgen_HK
dc.relation.ispartofInvestigative Ophthalmology and Visual Scienceen_HK
dc.titleRetinal detachment after trans-scleral 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.scopuseid_2-s2.0-33750191895en_HK
dc.identifier.volume37en_HK
dc.identifier.issue3en_HK
dc.identifier.spageS1133en_HK
dc.identifier.epageS1133en_HK
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridKent, D=35512364500en_HK
dc.identifier.scopusauthoridNoonan, CP=7005645259en_HK
dc.identifier.scopusauthoridCollur, S=14633033000en_HK
dc.identifier.scopusauthoridWong, D=7401536078en_HK
dc.identifier.scopusauthoridDamato, BE=7004650563en_HK

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