The pros and cons of local resection of choroidal melanoma
Source: Ophthalmology Times, December 2022
Resection of choroidal tumors is a treatment option but it is technically challenging and more challenging than removing tumors in the iris and ciliary body because the choroid is less accessible.
In a review of the literature on surgical procedures to remove choroidal tumors via endoresection (ab interno) or transscleral resection (ab externo), Spanish investigators found that local resection may offer better visual results and eye sparing without compromising local tumor control and survival, but there are come caveats attached,1 according to lead author Josep Maria Caminal, MD, from the Department of Ophthalmology, Ocular Oncology and Vitreoretinal
Service, Bellvitge University Hospital, L’Hospitalet de Llobregat, Barcelona, Spain.
The investigators used the PubMed database of the U.S. National Library of Medicine and the Cochrane Central Register of Controlled Trials of the Cochrane Library to compare the 2 methods of choroidal tumor excision for visual outcomes, survival rates, and complications.