"Finger-tip" cryoprobe assisted enucleation

PURPOSE: To report the use of a new cryotherapy probe to induce proptosis during enucleation surgery. DESIGN: Interventional case report. METHODS: Two patients with uveal melanoma and secondary glaucoma were treated by enucleation. A large surface area (70 mm²), spatulated, end-freezing cryotherapy probe ("Finger-tip" probes, MIRA, Inc.) was used to induce proptosis during optic nerve transsection. RESULTS: This new probe offers homogeneous freezing over a relatively large surface area. This new cryoprobe was used to create a large cryo-adhesion on the cornea, for an excellent purchase of the eye during enucleation surgery. Using this adhesion, the eye was lifted, enabling transsection of the optic nerve. CONCLUSIONS: This report includes photographs of the cryoprobe, the corneal cryo-adhesion, and describes its use for traction during enucleation surgery.