%0 Journal Article
%T Exoresection and endoresection for uveal melanoma
%A Gunduz Kaan
%A Bechrakis Nikolaos
%J Middle East African Journal of Ophthalmology
%D 2010
%I Medknow Publications
%X Surgical resection of uveal melanomas is an alternative eye-salvaging approach to the more commonly used irradiation techniques. There are two surgical resection techniques: Transscleral resection or "Exoresection" via a partial lamellar sclerouvectomy and "Endoresection" via a pars plana vitrectomy. While exoresection is more applicable to anteriorly located tumors with ciliary body and/or iris involvement, endoresection is more suitable for posteriorly located tumor without ciliary body involvement. Both approaches are suitable for large tumors with> 8 mm in thickness. In general, eyes containing these large tumors have a very dismal prognosis regarding long-term visual function, eye retention, and irradiation-induced side effects. By removing the tumor burden from the eye, histopathologic and cytogenetic information of the tumor is available and complications associated with the so-called toxic tumor syndrome are avoided. However, both types of surgical resection are challenging surgical procedures, bearing the risk of early and late postoperative complications.
%K Endoresection
%K Exoresection
%K Nevus
%K Melanoma
%K Partial Lamellar Sclerouvectomy
%U http://www.meajo.org/article.asp?issn=0974-9233;year=2010;volume=17;issue=3;spage=210;epage=216;aulast=Gunduz