Many studies over the past decade report a trend toward fewer enucleations, suggesting that improved treatments prevent end-stage eye disease. Interestingly, however, the incidence of enucleation for neoplasia has not decreased despite the more widespread use of globe-sparing techniques, such as chemotherapy and brachytherapy. Here we present the standard enucleation technique and a modified approach when the globe is tense with tumor: This technique allows safe resection of the required length of optic nerve and also prevents accidental transection of the globe when the nerve is cut “blindly.”

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Enucleation for Ocular Tumors

  • Bhupendra C. K. Patel,
  • Julian D. Perry

摘要

Many studies over the past decade report a trend toward fewer enucleations, suggesting that improved treatments prevent end-stage eye disease. Interestingly, however, the incidence of enucleation for neoplasia has not decreased despite the more widespread use of globe-sparing techniques, such as chemotherapy and brachytherapy. Here we present the standard enucleation technique and a modified approach when the globe is tense with tumor: This technique allows safe resection of the required length of optic nerve and also prevents accidental transection of the globe when the nerve is cut “blindly.”