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Article
December 1983

Normal Intraocular Pressure During Enucleation for Choroidal Melanoma

Author Affiliations

From the Richmond (Va) Eye and Ear Hospital.

Arch Ophthalmol. 1983;101(12):1900-1902. doi:10.1001/archopht.1983.01040020902013
Abstract

• A simple surgical technique for maintaining normal intraocular pressure during enucleation of eyes with a malignant melanoma of the choroid consists of making an incision into the anterior chamber through clear cornea with a microvitreoretinal blade, followed by the introduction of a No. 21-gauge scalp vein needle or a No. 23-gauge sidewall-holed needle attached to a closed system filled with balanced salt solution. Measurements of pressure fluctuations during five enucleations are given. Such a system maintains the anterior chamber and keeps fluctuations in IOP to a minimum. This may be important in preventing hematogenous dissemination of tumor cells, resulting in metastatic disease.

References
1.
Davidorf FH:  Treatment of malignant melanoma . Arch Ophthalmol 1979;97:975-976.Article
2.
Manshot WA, van Peperzeel HA:  Choroidal melanoma: Enucleation or observation? A new approach . Arch Ophthalmol 1980;98:71-77.Article
3.
McLean IW, Foster WD, Zimmerman LE, et al:  Inferred natural history of uveal melanoma . Invest Ophthalmol Vis Soc 1980;19:760-770.
4.
Zimmerman LE, McLean IW, Foster WD:  Does enucleation of the eye containing a malignant melanoma prevent or accelerate the dissemination of tumor cells? Br J Ophthalmol 197862:420-425.Article
5.
Zimmerman LE, McLean IW, Foster WD:  Statistical analysis of followup data concerning uveal melanomas and the influence of enucleation . Ophthalmology 1980;87:557-564.Article
6.
Fraunfelder FT, Boozman FW III, Wilson RS, et al:  No-touch technique for intraocular malignant melanomas . Arch Ophthalmol 1977; 95:1616-1620.Article
7.
Wilson RS, Fraunfelder FT:  'No touch' cryosurgical enucleation: A minimal trauma technique for eyes harboring intraocular malignancy . Am Acad Ophthalmol 1978;85:1170-1175.
8.
Kramer KK, LaPiana FG, Whitmore PV:  Enucleation with stabilization of intraocular pressure in the treatment of uveal melanomas . Ophthalmol Surg 1980;11:39-43.
9.
Shin DH, McGannon WJ:  Application of intraocular pressure reduction and regulation system . Ann Ophthalmol 1978;10:1637-1641.
10.
Kaufman PL, Friske HH:  Sidewall-holed needle for anterior chamber infusion . Ophthalmol Surg 1981;12:108-109.
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