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COMMENTS AND OPINIONS
Evisceration After Complete Evaluation an Acceptable Option
Julian D. Perry, MD;
Craig D. Lewis, MD;
Mark Levine, MD
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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We read with interest the article by Eagle et al.1 While the authors appropriately remind the readership that blind, painful eyes may harbor an occult melanoma, they offer conclusions and recommendations based on substandard care and flimsy data.
Standard care calls for suspicion of an occult neoplasm in all blind eyes with opaque media.2 Cases 2 and 3 did not undergo preoperative imaging despite likely opaque media. Case 1 showed a large melanoma that escaped diagnosis by a retinal specialist. Case 6 underwent evisceration despite a history of uveal melanoma. These 4 cases received substandard care.
Even Case 7 is a poor example, given the misinterpretation of a large melanoma on imaging. However, it does illustrate the type of tumor that the evisceration surgeon performing standard care fears: a small uveal melanoma undetected by diligent imaging and funduscopic examination. . . . [Full Text of this Article]
AUTHOR INFORMATION
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