Abstract
Retrospective analysis of surgical outcomes for enucleation in pediatric retinoblastoma stage 5B using the snare wire loop (n=55) and standard curved enucleation scissors (n=22) revealed that a statistically significant longer mean optic nerve length was obtained with the snare (13.35 mm) compared with scissors (11.05 mm; P=.005). Four scissor cases had prolonged bleeding and required thrombin (18.2%), but no snare cases had difficulty with hemostasis (P=.005). More crush artifact was seen with the snare than with scissors (P<.001), but this did not affect the ability to determine tumor involvement at the surgical margin. The enucleation snare should be considered a valuable surgical instrument in the small pediatric orbit since obtaining the longest optic nerve segment has prognostic implications in retinoblastoma.
Original language | English (US) |
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Pages (from-to) | 680-683 |
Number of pages | 4 |
Journal | Archives of ophthalmology |
Volume | 125 |
Issue number | 5 |
DOIs | |
State | Published - May 1 2007 |
ASJC Scopus subject areas
- Ophthalmology