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Intermediate Technical IVT

globe salvage

Treatment approach aimed at preserving the eye while achieving local tumor control in intraocular malignancies.

Full Definition

Globe salvage refers to therapeutic strategies designed to maintain the anatomical integrity of the eye while achieving adequate local control of intraocular tumors, offering an alternative to enucleation for selected patients. This approach encompasses various treatment modalities including plaque brachytherapy, external beam radiation therapy, local resection, laser therapy, and in some cases, systemic or regional chemotherapy. The primary goals of globe salvage are tumor eradication, preservation of useful vision when possible, and maintenance of acceptable cosmesis. Patient selection for globe salvage requires careful consideration of tumor characteristics, visual potential, patient age, and life expectancy. Success is measured not only by local tumor control but also by functional outcomes including visual acuity, visual field preservation, and quality of life factors.

Usage

Usage note: Clearly document success criteria and functional outcomes when describing globe salvage treatments.

In Context

  • "Globe salvage was achieved with plaque radiotherapy, maintaining 20/40 vision at two-year follow-up." — Treatment outcome report
  • "The multidisciplinary team recommended globe salvage over enucleation given the patient's young age and tumor characteristics." — Treatment planning conference notes

Also known as

eye preservation globe conservation organ preservation

Contrasted with

enucleation evisceration

Don't confuse with

globe-sparing therapy conservative management

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