{
    "abstract": "To present a standardized surgical technique for endoresection of uveal melanoma (UM) minimizing the risk of serious adverse events, including fatal gas embolism.\nTen UM patients underwent endoresection following proton beam radiotherapy for radiotherapy-related vascular complications. Vortex veins located in correspondence of the tumor base had been cauterized at the time of tantalum markers placement. Endoresection was performed following complete 25G vitrectomy, endolaser and endodiathermy. The tumor was removed using a subretinal or transretinal approach depending on retinal infiltration. If needed, perfluorodecalin (PFD) was injected to stabilise the retina. Fluid-silicone oil (SO) or PFD-SO exchange was performed, avoiding air.\nEndoresection was successfully performed in all eyes with no intraoperative complications. Mean follow-up (FU) was 10.8 \u00b1 3.2 months. One patient was enucleated due to neovascular glaucoma. At the last FU, the remaining patients had the eye preserved and no signs of local recurrence or neovascular glaucoma.\nOur standardized surgical technique for UM endoresection appeared to be safe, minimizing the risk of serious intraoperative and postoperative adverse events.",
    "authors": [
        {
            "affiliation": "Department of Biomedical Sciences, Humanitas University, Pieve Emanuele - Milano, Italy.\nDepartment of Ophthalmology, Humanitas Gavazzeni-Castelli, Bergamo, Italy.",
            "firstname": "Mario R",
            "initials": "MR",
            "lastname": "Romano"
        },
        {
            "affiliation": "School of Medicine, University of Malaga, Malaga, Spain.",
            "firstname": "Mariantonia",
            "initials": "M",
            "lastname": "Ferrara"
        },
        {
            "affiliation": "Department of Biomedical Sciences, Humanitas University, Pieve Emanuele - Milano, Italy.",
            "firstname": "Alessandro",
            "initials": "A",
            "lastname": "Feo"
        },
        {
            "affiliation": "Ocular Oncology Unit, Department of Surgical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.",
            "firstname": "Anna",
            "initials": "A",
            "lastname": "Merico"
        },
        {
            "affiliation": "Ocular Oncology Unit, Department of Surgical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.",
            "firstname": "Martina",
            "initials": "M",
            "lastname": "Angi"
        }
    ],
    "conclusions": "Our standardized surgical technique for UM endoresection appeared to be safe, minimizing the risk of serious intraoperative and postoperative adverse events.",
    "copyrights": null,
    "doi": "10.1097/IAE.0000000000004273",
    "journal": "Retina (Philadelphia, Pa.)",
    "keywords": [],
    "methods": null,
    "publication_date": "2024-09-26",
    "pubmed_id": "39325701",
    "results": "Endoresection was successfully performed in all eyes with no intraoperative complications. Mean follow-up (FU) was 10.8 \u00b1 3.2 months. One patient was enucleated due to neovascular glaucoma. At the last FU, the remaining patients had the eye preserved and no signs of local recurrence or neovascular glaucoma.",
    "title": "Optimizing surgical performance and safety in endoresection of uveal melanoma.",
    "xml": "<Element 'PubmedArticle' at 0x78850200a390>"
}