Die partielle ausschneidung von iris und ciliarkörper ein rückblick

Hk, Müller

doi:10.1007/bf00944025

Cited by 15 publications

(3 citation statements)

References 40 publications

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“…Local excision of tumors of the ciliary body was already achieved in 1911 by Zirm with the description of iridocyclectomy [2] and by Schubert, in 1925, who introduced choroidectomy [26]. Later reports was followed in [3, 19, 27, 28] and others, such as the description of partial lamellar sclerouvectomy by Foulds and collegues [4] and Shields and coworkers [5]. These surgical procedures allow a partial block excision because they preserve the superficial lamellar scleral flap.…”

Section: Discussionmentioning

confidence: 99%

“…Due to the low incidence of severe intra- or postoperative complications of this technique [38, 41] and the favourable survival of neoplastic patients [19, 20, 28, 49], even if anatomical and visual results appear to be variable [41], block excision with the tectonic corneal graft may be the treatment of choice for a selected minority of anterior uveal tumors involving the sclera and the angle, or with extraocular extension, and for cystic and epithelial ingrowth of the anterior chamber.…”

Section: Discussionmentioning

confidence: 99%

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Tectonic Keratoplasty to Restore the Bulbar Wall after Block Excision of Benign and Malignant Intraocular Tumors

Balestrazzi

Mosca

Blasi

et al. 2019

Journal of Ophthalmology

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Purpose. To report the surgical treatment and follow-up of tumors of the anterior uvea and epithelial cysts of the anterior chamber in 4 patients submitted to block excision and tectonic corneal graft between 2008 and 2012. Methods. This is a retrospective, nonrandomized case series. Two patients were affected by anterior uveal malignant melanoma, and 2 patients were referred to us for large epithelial iris cysts with anterior chamber angle involvement and partial corneal failure. A simultaneous block removal of the lesion and adjacent iris, cornea (when necessary), ciliary body, and sclera was performed; the resulting defect was covered by a tectonic whole thickness corneal graft. Follow-up ranged from 2 to 7 years (mean time: 5 ± 1.6 MD). Results. Local control of malignant melanoma was observed during the follow-up, but cataract surgery was planned in both patients and pars plana vitrectomy for vitreous hemorrhage occurred in one case. No recurrence of cysts was detected. After iris cysts excision, a planned second-time surgery was necessary in one patient: optical penetrating keratoplasty, centered on the visual axis, implantation of one refractive IOL (intraocular lens) in the bag, and one cosmetic IOL in the sulcus, to restore the iris diaphragm. Conclusions. Block excision followed by the tectonic corneal graft seems to be the treatment of choice for selected cases of epithelial cysts of the anterior chamber and anterior uvea melanomas with epibulbar extension. Further surgery, as a second step, could be required to improve functional results of this challenging technique.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Tectonic Keratoplasty to Restore the Bulbar Wall after Block Excision of Benign and Malignant Intraocular Tumors

Balestrazzi

Mosca

Blasi

et al. 2019

Journal of Ophthalmology

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“…In three cases cxcision of the tumour is described as incomplete because tumour cells were found near tthe line of excision at the ciliary body. Such a histological finding does not necessarily into the imply clinical recurrence (Greer, Muller, 1969). Ashton (1964) quotes eight cases of malignant melanoma of the iris incompletely removed by iridectomy or iridocyclectomy.…”

Section: Discussio~mentioning

confidence: 99%

Partial Iridocyclectomy: A Retrospective Evaluation

F.R.C.S.

1973

Aust N Z J Ophthal

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Summary The results of partial iridocyclectomy for pigmented iri/ciliary body tumours in 10 eyes are analysed. All surgery was performed with the aid of an operating microscope and was well tolerated in all but one eye. Complications were few, and mostly insignificant. The basis for the Melbourne Unit's active surgical approach to iris/ciliary body melanomas is explained with reference to several cases in which iridocyclectomy was not performed.

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Zur Technik der Cyclektomie

Naumann

Hadlok

1974

Die Periphere Sehbahn

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Die partielle ausschneidung von iris und ciliarkörper ein rückblick

Cited by 15 publications

References 40 publications

Tectonic Keratoplasty to Restore the Bulbar Wall after Block Excision of Benign and Malignant Intraocular Tumors

Tectonic Keratoplasty to Restore the Bulbar Wall after Block Excision of Benign and Malignant Intraocular Tumors

Partial Iridocyclectomy: A Retrospective Evaluation

Zur Technik der Cyclektomie

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