Ultrasound in the Management of Intraocular Tumours

Abstract

Until recently the standard treatment for all intraocular malignant tumours was excision of the eye. In the case of retinoblastoma, increasing use of radiotherapy and of chemotherapy has led to a much more conservative approach to these problems. In the case of the commonest intraocular tumour in adults, the malignant melanoma of the choroid, a somewhat similar situation has arisen. Not only has it been suggested that excision of the eye is without benefit as regards survival, but that enucleation may actually worsen the prognosis for life by dissemination of tumour cells during the surgical procedure (1). As a result, many eyes which were enucleated are now left in situ. This more conservative approach to the management of intraocular malignancy has made accurate diagnosis and follow-up even more important than heretofore and in both aspects ultrasound has a crucial role to play.KeywordsRetinal DetachmentLocal ExcisionFluorescein AngiographyOptic Nerve HeadChoroidal MelanomaThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.