Romanowska-Dixon Bozena
Z Katedry i Kliniki Okulistyki Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie.
Klin Oczna. 2005;107(10-12):627-31.
The aim was to report my own experiences of the surgical treatment of ciliary body melanoma. 42 patients were treated by trasnscleral resection of melanoma between January 1995 and June 2001. Additional rutenium brachytherapy was performed in 29 cases. Intraoperative complications included bleeding (3 cases), vitreous loss (4) and retinal detachment (2). Residual tumor in one case was the reason of enucleation. Cataract surgery and intraocular lens implantation was necessary in 7 cases. Postoperative filtration bleb appeared in 6 eyes. The evaluation of functional results has shown no impairment of visual acuity in 56% of cases and did not change during follow up. These observations show that transscleral resection with additional brachytherapy is a method of choice in the management of ciliary body melanoma.
目的是报告我自己对睫状体黑色素瘤手术治疗的经验。1995年1月至2001年6月期间，42例患者接受了经巩膜黑色素瘤切除术。29例患者还进行了钌近距离放射治疗。术中并发症包括出血（3例）、玻璃体丢失（4例）和视网膜脱离（2例）。1例因残留肿瘤而进行眼球摘除。7例患者需要进行白内障手术和人工晶状体植入。6只眼出现术后滤过泡。功能结果评估显示，56%的病例视力无损害，且随访期间未发生变化。这些观察结果表明，经巩膜切除术联合近距离放射治疗是睫状体黑色素瘤治疗的一种选择方法。
