Histopathology of eyes enucleated after endoresection of XXXX .

@entity1 @entity5 @entity1713 @entity2184 @entity735 @entity158 @entity3225 @entity320
PURPOSE: To demonstrate the histopathologic features of eyes enucleated after endoresection for @entity320 to assess the complications of this treatment and to determine indications for further treatment after endoresection in the setting of possible @entity5 recurrence. DESIGN: Retrospective, observational case series. @entity1 : Sixty-one consecutive @entity1 who had undergone endoresection for @entity2184 . METHODS: Eyes that had undergone enucleation after endoresection were identified, and their charts and histologic characteristics were reviewed. Pertinent features were described. One @entity1 was excluded because enucleation was performed as a primary treatment when endoresection was abandoned at the time of his initial treatment. MAIN OUTCOME MEASURES: The outcome measures included: reasons for enucleation; @entity5 recurrence; and location, clinical, and histologic characteristics of each recurrence. RESULTS: Twelve eyes were identified that had undergone enucleation after endoresection. The reasons for enucleation were: (1) local @entity5 recurrence detected by ophthalmoscopy (2 @entity1 ) or echography (1 @entity1 ); (2) opaque media preventing adequate ophthalmoscopy (4 @entity1 ); (3) blind and @entity158 eye of uncertain cause (1 @entity1 ); and (4) a @entity735 (4 @entity1 ), which was the result of untreatable @entity1713 (3 @entity1 ) and @entity3225 (1 @entity1 ). Eight of 12 @entity1 had recurrent @entity320 . Recurrences were all located adjacent to the resection site, although in 1 @entity1 there was extensive diffuse recurrence throughout the eye. The recurrence was visible clinically in 3 @entity1 and obscured because of opaque media (2 @entity1 ), a combination of inadequate echography and @entity1713 (1 @entity1 ), @entity1713 (1 @entity1 ), and @entity3225 (1 @entity1 ). CONCLUSIONS: Recurrent disease occurred at the site of the @entity5 with no seeding except in 1 @entity1 , whose marginal recurrence was not immediately detected and treated because of opaque media. As with other treatments conserving the eye, enucleation should be performed if adequate ocular examination is not possible, and follow-up should be lifelong.
