Eyewall resection for a uveal malignant melanoma under local anesthesia
Hwang, Y-Shiou.; Chen, S-Ni.; Chao, A-Ning.
Chang Gung Medical Journal 25(12): 850-853
2002
ISSN/ISBN: 2072-0939 PMID: 12635843 Document Number: 548939
A 44-year-old man was referred to our hospital for ciliary body tumor management. A uveal melanoma in the left eye without systemic metastasis was our impression after a series of examinations. We treated this patient with eyewall resection under local anesthesia. Eyewall resection was previously regarded as a complicated procedure that should be performed under general anesthesia. Our surgery was successful, and there were no complications related to the local anesthesia. We followed up this patient for 3 years, and no recurrence was found. Eyewall resection is a good alternative to enucleation for treating a ciliary body melanoma. Under a premise of survival, eyewall resection can maintain part of the visual function and cosmetics. General anesthesia is not indispensable when a patient's health does not allow its use.