Rhegmatogenous retinal detachment after block excision of epithelial implantation cysts and tumors of the anterior uvea

Jonas, Jost B.; Groh, Michael J. M.; Rummelt, Volker; Naumann, Gottfried O.H.

doi:10.1016/s0161-6420(99)90405-0

Cited by 9 publications

(3 citation statements)

References 27 publications

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“…9 Parsiyel lamellar sklerouvektominin komplikasyonları ise katarakt, vitreus hemorajisi, retina dekolmanı, hemorajik koroid dekolmanı şeklinde bildirilmiştir. 80,81 Enükleasyon büyük çaplı lezyon varlığında ve görme beklentisi az olan gözlerde tercih edilebilir. 4 Radyasyon terapisi ile ilgili literatürde kısıtlı veri vardır.…”

Section: Tedaviunclassified

Osseous and Myogenic Tumors of the Choroid

SARIGÜL SEZENÖZ,

KARABAY

2023

CRJ

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Myogenic and osseous tumors of the choroid are extremely rare clinical manifestations. The most common osseous choroidal tumor is choroidal osteoma, and the most common myogenic choroidal tumor is choroidal leiomyoma. Other common osseous lesions are listed as sclerochoroidal calcification and ossified choroidal hemangioma. It is of great importance to distinguish these lesions from malignant tumors, especially malignant melanoma. Multimodal imaging methods and tissue diagnosis with biopsy and immunohistochemical markers in myogenic tumors have an important place in the diagnosis. Although it is known that these lesions are systemically benign, they can threaten vision as a result of local mass effect and complications. Since some osseous tumors may accompany systemic metabolic disorders, systemic screening should be performed in necessary cases. Although rare, metastatic choroidal leiomyosarcoma cases have been described. In this case, it is important to diagnose the tumor quickly and accurately with a good anamnesis and tissue diagnosis, and to plan the appropriate treatment considering the sensitivity of the primary tumor.

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Section: Tedaviunclassified

Osseous and Myogenic Tumors of the Choroid

SARIGÜL SEZENÖZ,

KARABAY

2023

CRJ

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“…69 Reported complications of partial lamellar sclerouvectomy include vitreous hemorrhage, cataracts, retinal detachment, and hemorrhagic choroidal detachment. 17,34,45 These complications profoundly risk visual rehabilitation and ocular survival.…”

Section: Local Excisionmentioning

confidence: 99%

Intraocular leiomyoma: Current concepts

Tomar

Finger

Iacob

2020

Survey of Ophthalmology

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leiomyoma actin melanoma immunohistochemistry benign uvea a b s t r a c tIntraocular leiomyoma is a benign smooth muscle tumor. First recognized before the era of immunohistochemistry, uveal leiomyomas have been described in case reports and small case series. We add 3 new cases, for a total of 80. Of these, there were 29 men and 51 women. The mean and median ages were 35.8 and 30.5 years respectively, with a range of 8 to 80 years. Curiously, ciliary body tumors were more common in females, whereas iris and posterior choroidal leiomyomas were more prevalent in males. Infrequently associated with systemic fibroids, nuclear expression of sex steroid receptors was inconsistent. Iris and posterior choroidal leiomyoma were predominantly amelanotic, while 40% of ciliary body leiomyomas were brown. Two-thirds of the leiomyomas blocked transillumination partially or completely, a feature shared by uveal melanoma. In general, low-frequency ultrasound imaging reveals low to moderate internal reflectivity; however, highfrequency anterior uveal ultrasound was used to localize a leiomyoma as resident in the suprachoroidal space with an overlying layer of intact choroid. In the few cases examined by physiologic imaging, increased metabolic activity (typically associated with malignancy and inflammation) has been noted. We found that pigmented uveal leiomyomas can be clinically identical to melanoma. Therefore, histopathology with immunohistochemical staining for smooth muscle actin was the most reliable diagnostic method to differentiate pigmented uveal leiomyoma from melanoma. Treatment is governed by the clinical diagnosis, tumor size and location, as well as prognosis for vision and globe preservation.

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“…lens subluxation, hypotony, retinal detachment, endophthalmitis, phthisis, and sympathetic ophthalmia). 5 , 12 , 13 In contrast, and dependent upon modality, radiation complications may include eye lash loss, dry eye, corneal opacity, iris neovascularization, and cataract. Side-effects have been related to each type of radiations’ dose rate and dose distribution.…”

Section: Introductionmentioning

confidence: 99%

Palladium-103 plaque therapy for multifocal iris melanoma: Radiation of the entire anterior segment of the eye

Finger

Tomar

Chin

2020

European Journal of Ophthalmology

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Purpose: To investigate the safety and tolerability of total anterior segment palladium-103 (103Pd) eye plaque brachytherapy for multifocal iris melanoma. Methods: Interventional case series of 11 patients with multifocal iris melanomas. Anterior segment ultrasound revealed tumor size, location, and intraocular margins. Epicorneal amniotic membrane grafts protected the cornea and decreased pain during total anterior segment 103-Pd ophthalmic plaque brachytherapy. Results: Eleven diffuse iris melanomas were American Joint Committee on Cancer 8th edition–classified as T1 (n = 5, 45.5%) and T2 (n = 6, 54.5%). Plaque radiation was completed to a minimum mean tumor dose of 85 Gy (mean dose rate, 58.1 cGy/h). Ultrasonographic tumor thickness regression was 41% (follow up mean 58.7, median 50, range: 8–139 months). Despite 100% local control and 100% eye retention, one patient (9.1%) developed metastatic disease. Four eyes required cataract surgery. There was no corneal stem-cell deficiency, corneal opacity, radiation maculopathy, or optic neuropathy. While visual acuity prior to treatment was 20/40 or better in 10 (91%), 9 were 20/40 or better (81.9%) at last follow-up. Four (36%) had glaucoma prior to treatment and three eyes developed glaucoma after treatment for a total of 63%. Conclusion: Total anterior segment (103Pd) plaque brachytherapy resulted in local control, good visual acuity, eye and life preservation in the treatment of multifocal iris melanoma.

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Rhegmatogenous retinal detachment after block excision of epithelial implantation cysts and tumors of the anterior uvea

Cited by 9 publications

References 27 publications

Osseous and Myogenic Tumors of the Choroid

Osseous and Myogenic Tumors of the Choroid

Intraocular leiomyoma: Current concepts

Palladium-103 plaque therapy for multifocal iris melanoma: Radiation of the entire anterior segment of the eye

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