Delayed recurrence of an iridociliary malignant melanoma 180° from the primary tumor

Hopkins, Nikolas S.; Kornblau, Ilyse; Montes-Sabino, Christopher E.; Boom, Alan; Wilson, Matthew W.

doi:10.1016/j.ajoc.2022.101710

Cited by 1 publication

(1 citation statement)

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“…Ring melanoma can be difficult to detect at initial diagnosis as there may be an area of focal thickening, and the remainder of the ciliary body appears normal; it is a known mechanism of recurrence. [ 10 ] Here, we outline a procedure for anterior EPB placement and removal, with demonstrated treatment success. To this author's knowledge, this is the first report to specifically outline this widely performed yet technically challenging surgical technique.…”

Section: Discussionmentioning

confidence: 99%

Anterior plaque brachytherapy placement for treatment of iris and iridociliary melanomas – Surgical procedure and institutional experience

Pike,

Engelhard,

Greig

et al. 2024

Indian Journal of Ophthalmology

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Surgical placement of eye plaque brachytherapy (EPB) is the standard of care for the treatment of uveal melanomas, including iris/iridociliary melanomas. However, unique challenges exist in anterior EPB placement. Here, we describe a surgical technique for anterior EPB placement when placement requires plaque positioning onto the cornea. Blunt conjunctival peritomy exposes the sclera overlying the tumor. A ”dummy” plaque is placed, with positioning confirmed by direct visualization. The amniotic membrane is draped across the cornea and anchored with the eyelet sutures, the plaque is placed overlying the membrane, the conjunctiva is closed over the plaque, and a temporary tarsorrhaphy is performed. One week later, the conjunctival incision is reopened for plaque/amniotic membrane removal. This technique was employed in the treatment of 12 iris/iridociliary melanomas at our institution, with no instances of corneal damage. In placing an anterior plaque, employing this technique allows appropriate cancer treatment while optimizing patient comfort and corneal integrity.

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Section: Discussionmentioning

confidence: 99%