Naumann G
Klin Monbl Augenheilkd. 1975 Apr;166(4):436-48.
Tumors of the ciliary body and peripheral choroid are removed together with the adjacent cornea, sclera, iris and retina as a single "block". A lamellar preparation of the sclera is avoided because extent of the tumorinvasion into the sclera cannot be clinically reconized. The border of the tumor is found by fiber-optic-transillumination and thus the diameter of the block-excision is determined. The resulting defect of the globe is covered by a tectonic corneal graft. From 1971-1974 12 eyes have been operated with this method: 3 malignant melanomas of the iris invading the ciliary body; 5 tumors of the ciliary body and 4 extensive malignant melanomas involving also the peripheral choroid. The diameter of the block-excision varied from 5.5 X 5.5 to 14 X 18 mm. Simultaneous cataract extraction was performed in 5 eyes. Approximately 4 hours of the ciliary-body-circumference are excised. The preliminary results are satisfactory in view of the size of the excised tumors.
睫状体和周边脉络膜肿瘤与相邻的角膜、巩膜、虹膜和视网膜一起作为一个单一的“组织块”被切除。避免进行巩膜的板层制备，因为肿瘤向巩膜内浸润的范围在临床上无法识别。通过光纤透照法找到肿瘤边界，从而确定组织块切除的直径。眼球的 resulting 缺损用结构性角膜移植片覆盖。1971年至1974年期间，有12只眼睛采用这种方法进行了手术：3例虹膜恶性黑色素瘤侵犯睫状体；5例睫状体肿瘤和4例广泛的恶性黑色素瘤，还累及周边脉络膜。组织块切除的直径从5.5×5.5毫米到14×18毫米不等。5只眼睛同时进行了白内障摘除术。大约切除了睫状体周长的4小时部分。鉴于切除肿瘤的大小，初步结果令人满意。
