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Full-Thickness Eye Wall Resection: An Experimental Approach for Treatment of Choroidal Melanoma: Evaluation of Cryotherapy, Diathermy, and Photocoagulation

Full-Thickness Eye Wall Resection: An Experimental Approach for Treatment of Choroidal Melanoma:... Abstract In a series of experimental animals, the usefulness of cryotherapy, diathermy, and photocoagulation in performing full-thickness eye wall resection was evaluated. Prolonged application of freezing caused phthisis bulbi, whereas the eyes did not become phthisical when cryocoagulation was applied for a short time. However, the effect of brief cryocoagulation was not intense enough to occlude vessels or to prevent vitreous hemorrhage. Prophylactic photocoagulation four weeks prior to surgery, combined with diathermy at the time of operation, with or without cryotherapy, was effective in minimizing vitreous hemorrhage and in preventing retinal detachments. This modification of the resection technique permits trephination of the eye wall and histologic examination of the resected area. References 1. Raubitschek E: Über iris tumoren . Klin Monatsbl Augenheilkd 52:684, 1914. 2. Schubert F: Operation eines "Leucosarkoms" der Chorioidea mit Erhaltung des Auges: Danerheilung . Wien Klin Wochenschr 38:677-678, 1925. 3. Stallard HB: Pigmented tumors of the eye . Proc R Soc Med 54:463-468, 1961. 4. Stallard HB: Malignant melanoblastoma of the choroid . Mod Probl Ophthalmol 7:16-38, 1968. 5. Algan B, Mirguet R, Martinelle F: A propos d'un cas de choroidectomie partielle traitement conservateur d'un choroidoblastome . Bull Soc Ophtalmol Fr 67:944-948, 1967. 6. Haye C: Traitement chirurgical et radiothérapique des sarcomes de la choroïde . Arch Ophtalmol 28:873-880, 1968. 7. Fyodorov SN: The ablation of a choroidal melanoma . Ann Ophthalmol 4:510-513, 1972. 8. Peyman GA, Dodich NA: Full-thickness eyewall resection: An experimental approach for treatment of choroidal melanoma: Part I. Dacron-graft . Invest Ophthalmol 11:115-121, 1972. 9. Peyman GA, et al: Full-thickness eyewall resection: An experimental approach for treatment of choroidal melanoma: Part II. Homo- and heterograft . Invest Ophthalmol 11:668-674, 1972. 10. Peyman GA, et al: Full-thickness eye wall resection in primates: An experimental approach to treatment of choroidal melanoma . Arch Ophthalmol 89:410-412, 1973.Crossref 11. Peyman GA, et al: Full thickness eye wall resection in various species . Albrecht von Graefes Arch Klin Ophthalmol 186:157-164, 1973.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Full-Thickness Eye Wall Resection: An Experimental Approach for Treatment of Choroidal Melanoma: Evaluation of Cryotherapy, Diathermy, and Photocoagulation

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Publisher
American Medical Association
Copyright
Copyright © 1974 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1974.03900060227015
Publisher site
See Article on Publisher Site

Abstract

Abstract In a series of experimental animals, the usefulness of cryotherapy, diathermy, and photocoagulation in performing full-thickness eye wall resection was evaluated. Prolonged application of freezing caused phthisis bulbi, whereas the eyes did not become phthisical when cryocoagulation was applied for a short time. However, the effect of brief cryocoagulation was not intense enough to occlude vessels or to prevent vitreous hemorrhage. Prophylactic photocoagulation four weeks prior to surgery, combined with diathermy at the time of operation, with or without cryotherapy, was effective in minimizing vitreous hemorrhage and in preventing retinal detachments. This modification of the resection technique permits trephination of the eye wall and histologic examination of the resected area. References 1. Raubitschek E: Über iris tumoren . Klin Monatsbl Augenheilkd 52:684, 1914. 2. Schubert F: Operation eines "Leucosarkoms" der Chorioidea mit Erhaltung des Auges: Danerheilung . Wien Klin Wochenschr 38:677-678, 1925. 3. Stallard HB: Pigmented tumors of the eye . Proc R Soc Med 54:463-468, 1961. 4. Stallard HB: Malignant melanoblastoma of the choroid . Mod Probl Ophthalmol 7:16-38, 1968. 5. Algan B, Mirguet R, Martinelle F: A propos d'un cas de choroidectomie partielle traitement conservateur d'un choroidoblastome . Bull Soc Ophtalmol Fr 67:944-948, 1967. 6. Haye C: Traitement chirurgical et radiothérapique des sarcomes de la choroïde . Arch Ophtalmol 28:873-880, 1968. 7. Fyodorov SN: The ablation of a choroidal melanoma . Ann Ophthalmol 4:510-513, 1972. 8. Peyman GA, Dodich NA: Full-thickness eyewall resection: An experimental approach for treatment of choroidal melanoma: Part I. Dacron-graft . Invest Ophthalmol 11:115-121, 1972. 9. Peyman GA, et al: Full-thickness eyewall resection: An experimental approach for treatment of choroidal melanoma: Part II. Homo- and heterograft . Invest Ophthalmol 11:668-674, 1972. 10. Peyman GA, et al: Full-thickness eye wall resection in primates: An experimental approach to treatment of choroidal melanoma . Arch Ophthalmol 89:410-412, 1973.Crossref 11. Peyman GA, et al: Full thickness eye wall resection in various species . Albrecht von Graefes Arch Klin Ophthalmol 186:157-164, 1973.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Mar 1, 1974

References

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