Diagnosis and treatment of neoplasms of the organ of vision in the Primorskiy Centre of Eye Microsurgery

Written by Luzyanina V.V.

  UDK: 617.7-006-07-08 | Pages: 21–25 | Full text PDF | Open PDF 

Objective. An attempt has been made to analyze the level and structure of the incidence of the main forms of tumor of the organ of vision in Primorskiy territory in 2011–2016 based on the materials of Primorsky Center for Eye Microsurgery, LLC. During this period, 1256 patients aged 4 to 86 years old applied to PCEM with eye tumors.  Methods. Ophthalmic and general methods of instrumental diagnostics were used: ultrasonic morphometry, optical coherence tomography, angiography, color Doppler mapping, magnetic resonance imaging, positron emission tomography, histological and immunohistochemical studies.  Results. Neoplasms of the eyelids were the most common cause of the treatment – 87 %. Neoplasms of the surface of the eyeball and intraocular localization were registered in 5.7 % of cases. 37 patients of them suffered from metaplastic conjunctival processes, and intraocular neoplasms were first detected in 35 patients. Primary neoplasms of the orbit are diagnosed in 16, secondary – in 4, metastatic processes of the eye and orbit – in 3 cases. More than 90 % efficiency of surgical treatment of organ tumor of the eye is noted at the time of dispensary observation up to 5 years. Only 3.3 % of patients needed combined and high-tech non-invasive treatment and lifelong dispensary supervision.  Conclusions. To improve the quality of medical services for the population, it is necessary to improve the reporting protocols for oncologic ophthalmic diseases. Regional branches of Ophthalmological Association of Russia as the primary care of specialized areas of medicine.

Links to authors:
V.V. Luzyanina
Pacific State Medical University (2 Ostryakova Ave. Vladivostok 690950 Russian Federation), Primorskiy Centre of Eye Microsurgery (100e Borisenko St. Vladivostok 690088 Russian Federation)

1. Arakelyan A.E., Panova I.E. Epidemiological features of malignant tumors of eyelids // Collection of papers of the 10th Meeting of Russian Ophthalmologists. М.: Ophthalmologiia, 2015, P. 204.
2. Boyko E.V., Zhogolev K.S., Ivanov P.I. [et al.]. The experience of treating patients with melanoma of the choroid with a radiosurgical ‘gamma-knife’ device // Modern technologies in Ophthalmology. 2016. No.1. P. 40.
3. Brovkina A.F., Pankov O.P. Basics of dispensary examination of ophthalmo-oncologic patients // Ophthalmic oncology: collection of studies of Moscow Research Institute of Eye Deseases. L., 1983, P. 13-20.
4. Brovkina A.F. Ophthalmic oncology: guidelines for physicians. М: Meditsina, 2002. 421 p.
5. Brovkina A.F., Panova I.E., Saakyan S.V. Ophthalmic oncology: new for the last two decades // The Russian Annals of Ophthalmology. 2014. Vol. 130, No. 6. P. 13–19.
6. Vazhenin A.V., Panova I.E., Semnova L.E. [et al.]. The first experience of choroidal melanoma therapy on a robotic linear accelerator Cyber Knife // Siberian Journal of Oncology. 2012. No. 1. P. 48–50.
7. Vit V.V. Survival rates in patients with uveal melanoblastoma subjected to therapeutic photo- and laser coagulation // Journal of Ophthalmology. 1986. No. 6. P. 403–407.
8. Ilyalov S.R. Stereotactic radiosurgery of intracerebral metastases of cancer with a gamma-knife device: thesis abstract, PhD. М., 2008. 21 p.
9. Mchedlishvili N.V. Multivariate analysis of clinical signs in differential diagnosis of tumors and tumor-like diseases of the orbit: thesis abstract, PhD. Tbilisi, 1988. 21 p.
10. Popov I.A. Epidemiology of ophthalmo-oncologic diseases in Ural West Siberian region: thesis abstract, PhD. М., 2006. 26 p.
11. Sinyavskiy O.A., Troyanovskiy R.L., Ivanov P.I. et al. Resection with melanoma of the eye choroid after radiosurgical exposure with a gamma-knife // Oncosurgery. 2013. Vol. 5, No. 1. P. 119–120.
12. Trukhacev N.G., Frolova I.G., Novikov [et al.]. Ophthalmic scanning in the diagnostics of the orbit tumors // Siberian Journal of Oncology. 2007. No. 4. P. 30–35.
13. Fakiris A.J., Lo S.S., Henderson M.A. [et al.]. Gamma-knife-based stereotactic radiosurgery for uveal melanoma // Stereot. Funct. Neurosurg. 2007. Vol. 85. P. 106–112.
14. Ogino A., Hirai T., Fukushima T. [et al.]. Gamma knife surgery for brain metastases from ovarian cancer // Acta Neurochir. 2012. Vol. 154, No. 9. P. 1669–1677.
15. Ophthalmic Radiation Therapy. Techniques and Applications / Singh A.D., Pelayes D.E., Seregard S., Macklis R. (eds) // Dev. Ophthalmol. Basel, Karger, 2013. Vol. 52. P. 85–93.


Founded in 1997  |  Editions in a year: 4, Articles in one issue: 30 |  ISSN of print version: 1609-1175  |  Ind.: 18410 (Agency "Rospechat’")  |  Edition: 1000 c.