Erie J C, Robertson D M
Am J Ophthalmol. 1986 Aug 15;102(2):176-8. doi: 10.1016/0002-9394(86)90140-6.
Eight cases of presumed small choroidal melanomas, associated with subretinal fluid in the macula, were studied to determine the eventual outcome of these tumors and the value of photocoagulation in eliminating subretinal fluid. Photocoagulation resulted in resolution of subretinal fluid involving the macula in six cases for a mean duration of 12 months. Six cases showed tumor growth over a mean interval of 24 months. Two cases were eventually managed with enucleation and two with I125 brachytherapy. The occurrence of subretinal fluid involving the macula in cases of small choroidal melanomas implies a high chance of subsequent tumor growth. Photocoagulation may be useful in eliminating subretinal fluid and improving vision during this observation period.
对8例疑似脉络膜小黑色素瘤且伴有黄斑区视网膜下液的病例进行了研究,以确定这些肿瘤的最终转归以及光凝在消除视网膜下液方面的价值。光凝使6例黄斑区视网膜下液消退,平均持续时间为12个月。6例肿瘤在平均24个月的时间间隔内生长。2例最终行眼球摘除术,2例行碘125近距离放疗。脉络膜小黑色素瘤病例中出现黄斑区视网膜下液意味着后续肿瘤生长的可能性很高。在观察期内,光凝可能有助于消除视网膜下液并改善视力。