Romanowska-Dixon Bozena
Z Katedry i Kliniki Okulistyki Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie.
Klin Oczna. 2005;107(10-12):622-6.
To describe the own experiences of surgical treatment of iris melanomas.
56 patients with iris melanoma were treated between January 1995 and June 2001. Two surgical modalities were used depend on tumor location: partial iridectomy (in 45 cases) or transscleral iridotrabeculectomy (in 11 cases with the iridocorneal angle involvement). Additional ruthenium brachytherapy was performed in 3 cases.
There were no any complications during surgery. Filtration bleb occurred in 1 patient during post-operative follow-up. Local recurrence of melanoma successfuly treated with ruthenium plaque appeared in one person. Histologically, the majority were spindle B melanomas (70%), mixed in 27% and epithelioid in 3%. The visual acuity was better or not changed in 90% of cases.
Surgical management of iris melanoma seems to be save and effective treatment.
描述虹膜黑色素瘤手术治疗的自身经验。
1995年1月至2001年6月期间，对56例虹膜黑色素瘤患者进行了治疗。根据肿瘤位置采用了两种手术方式：部分虹膜切除术（45例）或经巩膜虹膜小梁切除术（11例伴有虹膜角膜角受累）。3例患者接受了额外的钌近距离放射治疗。
手术期间未出现任何并发症。术后随访期间有1例患者出现滤过泡。1例接受钌板治疗成功的黑色素瘤出现局部复发。组织学上，大多数为梭形B黑色素瘤（70%），混合性占27%，上皮样占3%。90%的病例视力较好或未改变。
虹膜黑色素瘤的手术治疗似乎是安全有效的治疗方法。
