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    3D Viewing System with Intraoperative OCT in Surgical Management of Ciliary Body Malignant Melanoma

    AAO 2022 Video Program
    Ocular Pathology/Oncology, Uveal Tract

    This video aims to provide insight into the surgical management of ciliary body melanoma with a 3-dimensional digitally assisted viewing system (3D-DAVS) with intraoperative optical coherence tomography (iOCT). A 39-year-old man without a known history of ocular or systemic cancer developed unilateral blurred vision in his right eye over the previous 3 months. Fundus examination revealed an exophytic pigmented mushroom-shaped mass behind the iris, over the superior quadrant in the ciliary body. Multimodal imaging showed highly suspicious choroidal melanoma. The patient underwent diagnostic and therapeutic surgical management with an excisional biopsy through partial lamellar sclerouvectomy and subsequent pars plana vitrectomy for residual tumor endoresection. Surgical management is an alternative in the diagnosis and treatment of ciliary body melanoma; 3D-DAVS with iOCT provides enhanced surgical field visualization and ultrastructural tissue anatomy evaluation during the surgery and can potentially guide critical decision making.

    Financial Disclosures: Dr. Juan Arias discloses financial relationships with Bayer Healthcare Pharmaceuticals (Lecture Fees/Speakers Bureau); Novartis, Alcon Pharmaceuticals (Lecture Fees/Speakers Bureau); and Topcorn Medical Systems Inc. (Consultant/Advisor).

    Dr. Dayron Fernando Martinez, Sr., Eduardo Javier Viteri, Juan Felipe Urrea, Sr. disclose no financial relationships.