DR. MEENAKSHI MAHESH

, Dr. MAHESH P. SHANMUGAM, Dr. RAJESH RAMANJULU, Dr.Payal Shah

Abstract

Aim:In tumors with atypical features,masquerades,ocular metastasis and genetic analysis,biopsy helps diagnosis and managementIt is divided-fine needle aspiration biopsy (FNAB)incisional,excisional biopsyMethods:Anteriorly placed tumors-iridociliary melanomas~3 clockhours of iris and ciliary body are treated with excision biopsySuprachoroidal tumors-suprachoroidal schwannoma can be treated with excision biopsy via partial lamellar sclerouvectomyIncisional biopsies are done for anteriorly placed unresectable tumorsTumors involving posterior choroid are biopsied using FNAB-Transvitreal/Transcleral/SubretinalGenetics of uveal melanomas is prognostic and transcleral FNAB/transvitreal FNAB can be doneRetino-choroidal biopsy maybe done in infective,inflammatory or malignanciesIn eyes with no visual prognosis enucleation is done for biopsyAll these techniques will be described with videosConclusion:In cases shown,biopsy helped diagnosis,management,eye salvage and identification of the primary