Abstract
SummaryThe most effective treatment for iris nevus and melanoma remains debatable. Typically, a melanocytic iris nevus is monitored until growth is identified. With documented growth, radiotherapy or surgical resection is usually performed. Surgical resection consists of iridectomy, which is characterized by removal of part of the iris with the tumor.Rates of cataract and glaucoma development after treatment are generally higher following proton beam and plaque radiotherapy relative to surgical resection. Moreover, radiotherapy carries the risk of limbal stem cell deficiency. Finally, surgical resection does carry the rapidity of tumor removal.Thus, localized, circumscribed, or discrete lesions that demonstrate growth are excellent candidates for conservative surgical resection.
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