Abstract
Local resection of choroidal melanoma has hitherto been limited by excessive ocular morbidity, fears of inducing metastatic disease and concerns about profound hypotensive anaesthesia. These obstacles are gradually being overcome. Advances in surgical techniques have led to better prevention and treatment of retinal detachment and residual tumour. Follow-up studies have not shown survival after local resection to be worse than after enucleation (Foulds et al. 1987). Techniques for profound hypotensive anaesthesia have become safer, and therefore more routine, thanks to developments in cerebral and cardiac monitoring. For these reasons, it is likely that local resection will be performed more widely in the future.
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© 2003 Springer-Verlag Berlin Heidelberg
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Damato, B. (2003). Local Resection and Radiotherapy for Uveal Melanoma. In: Sagerman, R.H., Alberti, W.E. (eds) Radiotherapy of Intraocular and Orbital Tumors. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55910-5_4
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DOI: https://doi.org/10.1007/978-3-642-55910-5_4
Publisher Name: Springer, Berlin, Heidelberg
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