“No-touch” Cryosurgical Enucleation: A Minimal Trauma Technique For Eyes Harboring Intraocular Malignancy

R. Sloan Wilson, Frederick T. Fraunfelder

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

Current surgical approaches for cancer are emphasizing minimal trauma—the so-called no-touch technique of tumor removal. Tumor seeding through the circulatory system seems reasonable, particularly with friable and necrotic tumors. Attempts to reduce metastatic seeds should originate with the original procedure. Enucleation of nontumor eyes with simultaneous intraocular manometry has shown which surgical maneuvers elevate intraocular pressure and how ocular massage can be avoided. Our surgical procedure involves a delicate surgical technique coupled with transscleral cryocoagulation to immobilize the tumor's blood supply.

Original languageEnglish (US)
Pages (from-to)1170-1175
Number of pages6
JournalOphthalmology
Volume85
Issue number11
DOIs
StatePublished - Jan 1 1978

Keywords

  • Intraocular tumor
  • cryocoagulation
  • enucleation
  • melanoma
  • metastasis
  • no-touch

ASJC Scopus subject areas

  • Ophthalmology

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