File number: 69458
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By Sophia El Hamichi, MD
Murray Ocular Oncology and Retina
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.