Dr. MOHIT DOGRA

, Dr.RAMANDEEP SINGH, Dr.SIMAR RAJAN SINGH

Abstract

Choroidal melanoma (CM) is the commonest primary intraocular malignancy in adults. Management includes plaque brachytherapy (Ru-106, I-125), proton beam therapy (PBT), transpupillary thermotherapy and enucleation. Rarely, transscleral resection (for broad based anterior tumors) and vitrectomy with endoresection (for high posterior tumors) is indicated. Non-availability of PBT and I-125 plaques in our country makes management of posterior CMs with height >8mm extremely challenging. We show 2 cases of CM with height >8mm who were successfully managed with 3-port 25G pars plana vitrectomy, posterior hyaloid removal, endoresection of the tumor followed by endolaser/cryotherapy and silicone oil tamponade. Preoperative planning, anaesthesia and crucial intraoperative steps of the procedure are highlighted in this video.