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Retina Arter Tıkanıklıkları ve Tedavisi...
Santral Retinal Ven Tıkanıklığı Güncel Tedavisi...
Central Retinal Artery Occlusion As the Cause of Unilateral Concentric Narrowing of Visual Field and Presence of Cilioretinal Artery...
Bilateral Optic Disc Drusen
Vascular Endothelial Growth Factor and Anti VEGF Agents...
Central Retinal Artery Occlusion As the Cause of Unilateral Concentric Narrowing of Visual Field and Presence of Cilioretinal Artery...
Retina Arter Tıkanıklıkları ve Tedavisi...
Morning Glory Syndrome Associated with Retinochoroidal Coloboma...
Santral Retinal Ven Tıkanıklığı Güncel Tedavisi...
Bilateral Optic Disc Drusen
PureSee Kesintisiz Yüksek Kalitede Görüş
Retina-Vitreous 2017 , Vol 25 , Num 2
Turkish Abstract Abstract Article PDF Similar Articles Mail to Author
Endoresection and Transscleral Approaches in Intraocular Tumor Surgery
Kaan GÜNDÜZ
Prof. Dr., Ankara Üniversitesi Tıp Fakültesi Göz Hastalıkları Anabilim Dalı Surgical excision in uveal tumors can be done via iridectomy, partial lamellar sclerouvectomy (PLSU), and endoresection. PLSU is employed in tumors involving the iridociliary, ciliary body, ciliochoroidal and peripheral choroidal tumors. In PLSU surgery, a partial thickness scleral fl ap is dissected, the intraocular tumor is excised, and the fl ap is sutured back in position. PLSU surgery is done in iridociliary and ciliary body tumors with less than 3 clock hours of iris and ciliary body involvement and in choroidal tumors with a base diameter less than 15 mm. However, it can be employed in any size tumor for biopsy purposes. Endoresection is a relatively new technique whereby the intraocular tumor is excised using vitrectomy techniques. The rationale for performing endoresection is based on the fact that irradiated uveal melanomas may be associated with exudation, neovascular glaucoma, intraocular pigment and tumor dissemination and removing the dead tumor tissue may contribute to better visual outcome. There are some centers where endoresection is done without prior radiotherapy. Allegedly, avoidance of radiation retinopathy and papillopathy are the main advantages of using endoresection without prior radiotherapy. PLSU, endoresection with or without prior external radiotherapy have similar vision, local recurrence, globe preservation, and metastasis rates compared to radiotherapeutic methods. PLSU and endoresection have become established as important surgical techniques that can be considered in the management of intraocular tumors. Keywords : Uveal tumor, ciliary body tumor, choroidal tumor, plaque radiotherapy, partial lamellar sclerouvectomy, endoresection, pars plana vitrectomy, radiotherapy
PureSee Kesintisiz Yüksek Kalitede Görüş
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