Adenoma of the nonpigmented ciliary epithelium presenting as glaucoma

Stålhammar, Gustav; Damato, Bertil; Filì, Maria

doi:10.1016/j.ajoc.2023.101871

Cited by 1 publication

(1 citation statement)

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“…By removing the tumor from the eye, we can obtain histopathological information about the tumor. Secondly, removal is indicated for tumors with documented growth in order to restore intraocular structure and prevent complications such as lens subluxation, cataract and elevated intraocular pressure (IOP) [ 19 , 20 ]. Additionally, surgical resection may also be an option for control of malignant tumors, such as iridociliary melanomas, if plaque radiotherapy or proton beam radiotherapy is not available in certain facilities.…”

Section: Introductionmentioning

confidence: 99%

Local resection via partial lamellar sclerouvectomy for ciliary body tumors — a case series

Wang,

Su,

Wang

et al. 2024

BMC Ophthalmol

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Background Ciliary body tumor is extremely rare and treatment is challenging. The aim of this study is to present our experience in treating this rare entity, especially large tumors with more than 5 clock hours of involvement, and to evaluate the surgical outcomes and complications of local resection via partial lamellar sclerouvectomy in four cases of ciliary body tumors in China. Methods Four patients with ciliary body tumors underwent partial lamellar sclerouvectomy between October 2019 and April 2023 in Shanghai General Hospital, China. Tumor features, histopathologic findings, complications, visual acuity, and surgical outcomes were reviewed at a mean follow-up of 20.8 months. Results Four patients with a mean age of 31.8 years were included in this study. The histopathological diagnosis was adenoma of non-pigmented ciliary epithelium (ANPCE), schwannoma, and multiple ciliary body pigment epithelial cysts. The mean largest tumor base diameter was 6.00 mm (range: 2.00–10.00) and the mean tumor thickness was 3.50 mm (range: 2.00–5.00). Preoperative complications included cataract in 3 (75%) eyes, lens dislocation in 2 (50%), and secondary glaucoma in 1 (25%). Temporary ocular hypotonia was observed in one case and no other postoperative complications were observed. At a mean follow-up of 20.8 months, the best corrected visual acuity increased in 3 eyes and was stable in 1 eye. Tumor recurrence was absent in all eyes. All patients were alive at the end of follow-up. Conclusions Local tumor resection via PLSU is useful in the treatment of ciliary body tumors, including large tumors occupying more than five clock hours of pars plicata. Surgery-related complications were manageable with adequate preoperative assessment and careful operation during surgery.

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Section: Introductionmentioning

confidence: 99%