Iridocyclectomy for a Ciliary Body Tumor

  • Jose J. Echegaray
  • Thomas Plesec
  • Arun D. Singh

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This video demonstrates how to perform the surgical technique of iridocyclectomy based on the example of a patient with a ciliary body tumor. Iridocyclectomy or its variant, cyclectomy, is an excellent surgical option for the complete removal of well-delineated iridociliary or ciliary body tumors, providing diagnosis and treatment in a single procedure.

Introduction

This video demonstrates how to perform the surgical technique of iridocyclectomy based on the example of a patient with a ciliary body tumor. Iridocyclectomy or its variant, cyclectomy, is an excellent surgical option for the complete removal of well-delineated iridociliary or ciliary body tumors, providing diagnosis and treatment in a single procedure. The video opens with explanation of preoperative assessment, anesthetic management, and surgical prep. Each of the surgical steps is then precisely presented and described. The sequence begins with a conjunctival flap and continues with an outer scleral flap, an inner scleral flap, uveal incisions, tumor excision, and wound closure. The aim of the video is to familiarize the viewer with all steps in the procedure, thereby enhancing the likelihood of surgical success. Attention is drawn to modifications in the procedure that would be appropriate in circumstances different from the presented case.

About The Author

Jose J. Echegaray, MD is a Vitreoretinal Surgery Fellow and Instructor in Ophthalmology at the Bascom Palmer Eye Institute, University of Miami Miller School of Medicine in Miami, FL. He completed his chief residency in Ophthalmology at the University of Puerto Rico School of Medicine and fellowships in Ophthalmic Pathology at Bascom Palmer Eye Institute and Ophthalmic Oncology at the Cleveland Clinic Cole Eye Institute.

 

Arun D. Singh, MD is the Director of the Department of Ophthalmic Oncology, Cole Eye Institute, Cleveland Clinic. He has published more than 350 scientific articles and has edited several textbooks (Clinical Ophthalmic Oncology, Ophthalmic Ultrasonography, Ophthalmic Radiation therapy and, FNA cytology of Ophthalmic Tumors). He is Editor of the Journal (Ocular Oncology and Pathology) and was the past President of the International Society of Ocular Oncology (2015-2017).

 

About this video

Author(s)
Jose J. Echegaray
Thomas Plesec
Arun D. Singh
DOI
https://doi.org/10.1007/978-3-030-03872-4
Online ISBN
978-3-030-03872-4
Total duration
10 min
Publisher
Springer, Cham
Copyright information
© The Author(s) 2019

Video Transcript

This video will illustrate a procedure of iridocyclectomy for a ciliary body tumor. Iridocyclectomy is an excellent surgical procedure for the diagnosis and treatment of a ciliary body tumor. The initial clinical evaluation of a ciliary body tumor involves precise tumor localization and measurement with ultrasound biomicroscopy. Base diameters as well as tumor depth are necessary measurements to adequately plan the iridocyclectomy procedure, specifically the extent of its wound construction.