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A. Scupola, S. Petroni, A. Mastrocola, G. D'Amico, M. A. Blasi, C. Tamburrelli, E. Balestrazzi; Use of Pericardium Patch During Transscleral Resection of Uveal Melanoma. Invest. Ophthalmol. Vis. Sci. 2007;48(13):5254.
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To evaluate the utility of pericardium patch to complete vitrectomy in case of complicated transscleral choroidal melanoma resection.
Four patients with choroidal melanoma were included in this study. Transscleral resection consists on excision of the tumor through a lamellar scleral flap. The patch of pericardium was used to reinforce the scleral flap after its suture and to complete pars plana vitrectomy with silicon oil tamponade.
The use of pericardium patch allowed to complete the vitrectomy without leakage of fluids and of silicon oil during and after vitrectomy. In one case a choroidal detachment was detected intraoperatively preventing a complete vitrectomy. In all patients, the patch was well tolerated and we did not detect any systemic or local side effects during the follow-up period (12 months).
In case of complicated transscleral choroidal melanoma resection, subtotal vitrectomy could be useful to reduce the incidence of vitreoretinal proliferation and retinal detachment. The use of pericardium patch could help to reinforce the flap and to complete vitrectomy with intraocular tamponade.
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