Edwards M G, Schachat A P
Ocular Oncology Service, Johns Hopkins Hospital, Baltimore, MD 21205.
Arch Ophthalmol. 1991 Apr;109(4):519-21. doi: 10.1001/archopht.1991.01080040087034.
We report a functional outcome assessment of 71 patients who underwent enucleation for choroidal melanoma. Each was interviewed to evaluate his her self-reported ability to perform four vision-dependent activities--working, driving, reading, and television viewing--before enucleation and when interviewed. The interval between enucleation and the interview varied between 2 and 25 years. Eighty-seven percent (62/71) reported no change in their ability to perform these important vision-dependent tasks. At 15 years after enucleation, 90% (18/20) retained the ability to drive and 96% (25/26) retained the ability to read. These results are reassuring for those with choroidal melanoma who are faced with enucleation, because most of these patients seem likely to continue at a level of visual function comparable with their preenucleation status.
我们报告了71例因脉络膜黑色素瘤而接受眼球摘除术患者的功能预后评估情况。对每位患者进行了访谈，以评估其在眼球摘除术前以及接受访谈时自我报告的进行四项依赖视力活动的能力，即工作、驾驶、阅读和看电视。眼球摘除术与访谈之间的间隔时间在2至25年之间。87%（62/71）的患者报告称，他们进行这些重要的依赖视力任务的能力没有变化。在眼球摘除术后15年，90%（18/20）的患者保留了驾驶能力，96%（25/26）的患者保留了阅读能力。这些结果对于面临眼球摘除术的脉络膜黑色素瘤患者来说是令人安心的，因为这些患者中的大多数似乎有可能维持与眼球摘除术前相当的视觉功能水平。
