Internal eye wall resection in the management of uveal melanoma

Can J Ophthalmol. 1988 Aug;23(5):218-23.


Twenty patients with presumed uveal melanoma underwent internal eye wall resection. It was the primary procedure in 13 patients who had tumours within 2 disc diameters of the optic nerve head and was combined with external resection in the remainder. Malignant melanoma was confirmed histologically in 15 patients; the diagnosis was a benign tumour in the other 5. The length of follow-up ranged from 2 to 37 (mean 19) months. In all cases the retina was completely attached at the time of last examination. The visual acuity ranged from 20/40 to hand movements; nine patients had an acuity of 20/400 or better. At the time of writing no metastatic disease or local recurrence had developed in any of the 15 patients in whom malignant melanoma was diagnosed.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cataract / etiology
  • Cataract Extraction
  • Child
  • Humans
  • Intraocular Pressure
  • Intraoperative Complications
  • Medical Illustration
  • Melanoma / surgery*
  • Middle Aged
  • Ophthalmologic Surgical Procedures*
  • Postoperative Complications
  • Postoperative Period
  • Reoperation
  • Retinal Detachment / etiology
  • Retinal Detachment / surgery
  • Uveal Neoplasms / surgery*
  • Visual Acuity
  • Vitreous Hemorrhage / etiology