Optico‐reconstructive surgery after blockexcision of iridociliar tumors

Abstract

AbstractPurpose To estimate the possibilities and indication for optico‐reconstructive surgery after blockexcision of iridociliar tumors.Methods 68 patients with iridociliary tumors and complicated cataract were treated. 41 patients underwent combined surgery – block excision with cataract extraction (IOL implantation performed in 37 cases). In 14 of these patients iridectomy was performed using a tunnel corneal incision (in cases of small tumors of iris pupillary margin) followed by simultaneous phacoemulsification+IOL. The other patients underwent cataract extracapsular extraction. Simultaneous operations were carried out only in benign tumors. 27 patients underwent delayed cataract extraction after blockexcision (9 patients with malignant tumors, 18 patients ‐ benign). In 5 cases surgery were performed with implantation of artificial iris, in 17 cases ‐ with IOL implantation.Results In all cases we detected increase the visual acuity, depending on the type of surgery and the tumor’s sizes.Conclusion Indications for simultaneous optico‐reconstructive surgery are benign tumors, for delayed – even malignant ones. In cases of small benign tumors of iris papillary margin simultaneous surgery could be done using FEC + IOL, for large benign tumors (no more than 1/3 of iris) – with simultaneous cataract extracapsular extraction, if more than 1/3 of iris – delayed surgery with implantation of artificial iris.