Full-thickness eye wall resection of choroidal neoplasms

Area of Science:

• Ophthalmology
• Surgical Oncology

Background:

• Choroidal neoplasms pose a significant challenge in ocular oncology.
• Enucleation has been a traditional management for these tumors.

Purpose of the Study:

• To evaluate the efficacy and safety of sclerochorioretinal (full-thickness eye wall) resection for choroidal neoplasms.
• To assess visual outcomes and metastatic potential following this surgical intervention.

Main Methods:

• Sclerochorioretinal resection was performed on 19 eyes diagnosed with choroidal neoplasms.
• Patient outcomes, including visual acuity, complications, and metastasis, were monitored over a follow-up period of 1.5 to 6 years.

Main Results:

• Thirteen out of 19 eyes retained useful vision post-surgery (ranging from 20/25 to counting fingers).
• Six eyes experienced complications necessitating enucleation.
• No instances of local or systemic metastasis were observed in any patient during the follow-up period.

Conclusions:

• Full-thickness eye wall resection is a viable alternative for managing select choroidal neoplasms.
• This technique can preserve useful vision and offers a favorable oncological outcome with no observed metastasis.