Surgical Approach in Intraocular Tumors

Area of Science:

• Ophthalmology
• Surgical Oncology
• Ocular Pathology

Background:

• Intraocular tumors necessitate surgical intervention for diagnosis, excision, and management of treatment-related complications.
• Various surgical techniques exist, including fine-needle aspiration biopsy (FNAB), transretinal biopsy (TRB), partial lamellar sclerouvectomy (PLSU), and endoresection.

Purpose of the Study:

• To review surgical modalities for intraocular tumor excision and biopsy.
• To discuss the application of specific surgical techniques like PLSU and endoresection.
• To outline the role of pars plana vitrectomy in managing post-treatment complications.

Main Methods:

• Review of surgical techniques for intraocular tumor management.
• Description of indications and limitations for FNAB, TRB, PLSU, and endoresection.
• Discussion of pars plana vitrectomy in managing complications like vitreous hemorrhage and retinal detachment.

Main Results:

• FNAB, TRB, and PLSU are options for undiagnosed tumors.
• PLSU is suitable for anteriorly located tumors and biopsy of any size, with specific size criteria for excision.
• Endoresection, often post-radiotherapy, and pars plana vitrectomy address complications and aim for better visual outcomes.

Conclusions:

• Surgical interventions are crucial for intraocular tumor diagnosis, treatment, and complication management.
• Specific techniques like PLSU and endoresection offer tailored approaches based on tumor characteristics and location.
• Effective management involves careful selection of surgical methods and timely intervention for post-treatment complications to preserve vision.