Long-term experience of surgical removal of iridociliary tumors followed by iridolenticular diaphragm implantation
DOI: 10.32364/2311-7729-2025-25-Suppl-5
A.A. Yarovoy, N.P. Sobolev, A.V. Shatskikh, A.D. Matyaeva
S. Fyodorov Eye Microsurgery Federal State Institution, Moscow, Russian Federation
Background: surgical removal of iridociliary tumors is a top-priority method of organ-preserving treatment of anterior intraocular neoplasms. The technique may lead to negative consequences such as impaired diaphragmatic iris function and lens opacity followed by vision impairment, optical aberrations and photophobia. Iridolenticular diaphragm implantation that improves a functional result, cosmetic effect and patients' social adaptation, is the most relevant method to manage abovementioned conditions.
Aim: to determine an effect of block excision of iridociliary tumors followed by delayed implantation of iridolenticular diaphragm on a risk for recurrence of a malignant neoplasm, visual acuity and quality.
Materials and Methods: from 2004 to 2024, 26 patients underwent block excision of various volume followed by optical reconstructive surgical rehabilitation by implantation of artificial iris or iridolenticular diaphragm in the S. Fyodorov Eye Microsurgery Federal State Institution.
Results: block excision resulted in significantly decreased best corrected visual acuity. Along with this, photophobia and optical aberrations were reported in all patients. After phacoemulsification with implantation of iridolenticular diaphragm, visual acuity increased in 22 (85%) patients, and it decreased in 3 (11%) patients. The parameter remained unchanged in 1 (4%) patient. Photophobia and optical aberrations resolved. Several complications such as macular edema (n=3; 11%), secondary glaucoma (n=2; 8%), acute iridocyclitis (n=2; 8%), acute endophthalmitis (n=1; 4%), and dislocation of iridolenticular diaphragm into the vitreal cavity (n=1; 4%) were reported. During the entire follow-up (13 — 243 months), a recurrent melanoma was detected in 1 case only. No distant metastases were reported.
Conclusion: block excision of iridociliary neoplasms leads to a decreased quality of vision and life due to postoperative iris colobomas. Optical reconstructive surgery of ocular structures can improve visual functions without an increased risk of tumor recurrence.
Keywords: iridociliary tumors, block excision, iridolenticular diaphragm, surgical removal.
For citation: Yarovoy A.A., Sobolev N.P., Shatskikh A.V., Matyaeva A.D. Long-term experience of surgical removal of iridociliary tumors followed by iridolenticular diaphragm implantation. Russian Journal of Clinical Ophthalmology. 2025;25(Special Issue):37–42 (in Russ.). DOI: 10.32364/2311-7729-2025-25-Suppl-5
About the authors:
Andrey A. Yarovoy — Dr. Sc. (Med.), Head of the Department of Ophthalmo-oncology and Radiotherapy, S. Fyodorov Eye Microsurgery Federal State Institution; 59a, Beskudnikovskii blvd., Moscow, 127486, Russian Federation; ORCID iD 0000-0003-2219-7054
Nikolay P. Sobolev— Dr. Sc. (Med.), Chief Medical Officer of S. Fyodorov Eye Microsurgery Federal State Institution; 59a, Beskudnikovskii blvd., Moscow, 127486, Russian Federation; ORCID iD 0000-0003-3413-1458
Anna V. Shatskikh — C. Sc. (Med.), Pathologist, Head of Eye Pathology and Histology Laboratory, S. Fyodorov Eye Microsurgery Federal State Institution; 59a, Beskudnikovskii blvd., Moscow, 127486, Russian Federation; ORCID iD 0000-0002-3437-8162
Angelina D. Matyaeva — Ophthalmologist, Postgraduate Student, S. Fyodorov Eye Microsurgery Federal State Institution; 59a, Beskudnikovskii blvd., Moscow, 127486, Russian Federation; ORCID iD 0000-0001-7543-619X
Contact information: Angelina D. Matyaeva, e-mail: matyaeva.lina@yandex.ru
Financial Disclosure: no authors have a financial or property interest in any material or method mentioned.
There is no conflict of interest.
Received 03.02.2025.
Revised 26.02.2025.
Accepted 21.03.2025.
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