[Iris melanomas. A retrospective study of 11 patients treated by surgical excision]. / Les mélanomes de l'iris. Etude rétrospective de 11 cas traités par excision chirurgicale.
J Fr Ophtalmol
; 26(1): 31-7, 2003 Jan.
Article
en Fr
| MEDLINE
| ID: mdl-12610407
INTRODUCTION: Iris melanoma, even when a malignant tumor, has a slow progressive course. Surgical treatment is easy because of localization of the tumor but can be accompanied by a range of complications, from photophobia to cosmetic problems. MATERIALS AND METHODS: We reviewed the records of 11 patients with iris melanoma treated by surgical excision with posterior limbus incision. Conventional iridectomy was performed in nine cases and iridocyclectomy in two cases. RESULTS: There were seven females and four males ranging in age from 27 to 76 years. Histologically, 10 tumors were composed of B spindle cells and one was mixed. For all patients, followed up for 1-5 years, final visual acuity was more than 6/10. One patient complained of photophobia and cataract developed in one 76-year-old woman at the end of follow-up. CONCLUSION: Because of the good prognosis of iris melanoma, conservative treatment can be given in most of cases (without local complications). Surgical resection confirms diagnosis after histopathological examination, with good final functional result thanks to scleral tunnel incision, which induces less astigmatism than corneal incisions. In the future, these findings will have to be confirmed by a corneal topography study before and after surgery.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Neoplasias del Iris
/
Melanoma
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Fr
Revista:
J Fr Ophtalmol
Año:
2003
Tipo del documento:
Article
Pais de publicación:
Francia