Enucleation of an Eye with Advanced Choroidal Melanoma with Implant and Donor Sclera Replacement


File number: 69458


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    • By Sophia El Hamichi, MD
      University of Florida
      Co-author(s): Timothy G Murray, MD, Murray Ocular Oncology and Retina; Audina M Berrocal, MD, Bascom Palmer Eye Institute
    • Uploaded on Jan 11, 2021.
    • Last modified by Caroline Bozell on Jan 12, 2021.
    Appears in
    melanoma, enucleation, donor sclera, implant
    Belinda Rodriguez, Murray Ocular Oncology and Retina, Miami
    Surgery of the left eye affected with advanced melanoma: Upper left image: separating the sclera from the conjunctiva and the tenon by performing a peritomy, then separating the rectus muscles that will be later sutured to the donor sclera, to preserve post-op motility. Upper right image: cutting the optic nerve. Middle left image: the globe is enucleated. Middle right image: dissection of the globe showing the melanoma. Tissue is then sent to pathology Lower left image: putting the porous polyethyline implant inside the donor sclera and marking muscles' insertion. Lower right image: reinsertion of the rectus muscles on the donor sclera, then covering with tenon and conjunctiva.

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