No abstract

No abstract

Modified (enlarged) enucleation via lateral orbitotomy for selectd choroidal melanomas with massive, circumscribed perioptic/posterior extrascleral extension allows complete tumor removal and placement of an orbital implant, avoiding the long healing process of orbital exenteration with excellent clinical and cosmetic outcome.

Purpose To describe the technique and results of modified (enlarged) enucleation via lateral orbitotomy for choroidal melanomas with macroscopic periopticposterior extrascleral extension. Methods 5 cases of choroidal melanoma with macroscopic periopticposterior entrascleral extension underwent modified enucleation via lateral orbitotomy. After lateral orbitotomy and orbital mass exposure with direct tumor visualization, a long optic nerve stump was cut and the orbital component of the tumor was completely (macroscopically) removed along with the globe in all cases. After haemostasis and orbital reconstruction an orbital implant was than placed. Follow up was longer than 12 months Results After pathologic examination, the tumor result completely removed in 5 patients (100%). Excellent cosmetic outcome was achieved in all cases (100%) without operative or postoperative complications. Conclusion Modified (enlarged) enucleation via lateral orbitotomy for choroidal melanomas with macroscopic perioptic/posterior extrascleral extension allows placement of an orbital implant avoiding the long healing process of orbital exenteration with excellent clinical and cosmetic outcome.