Dr.Sonal Chaugule, Dr.Santosh G Honavar, Mr.Chalamala Jangaiah, Gangadhar Jalli
Appropriate primary management is the key to success in tumors of the eye & adnexa. Surgical techniques have to be highly precise to ensure complete tumor removal without capsule disruption or microscopic residual. In the era of ‘no touch’ surgical techniques in the field of ocular oncology, cryotherapy works as the third efficient hand of the surgeon in managing eyelid, ocular surface, intraocular & orbital tumors. It is used to definitively treat small tumors of the eyelid and ocular surface and as adjuvant for the surgical margins following excision. Cryotherapy is extensively used to treat intraocular tumors, specifically small peripheral retinoblastoma, as chemo-cryotherapy & in safety-enhanced intravitreal chemotherapy. The use of cryo probe to get a good hold of the tumor immensely helps in incisional & excisional biopsy of orbital tumors. The video demonstrates the principle, mechanism of cryotherapy with its various applications in the management of tumors of the eye & adnexa.