We designed a suction attachment for the radiosurgical treatment of in
traocular malignancies with the Leksell gamma unit (Gamma Knife). Our
device consists of a circular suction chamber and an adjustable unit t
o be fixed to the Leksell stereotactic head frame. All components are
made of plastic materials in order to avoid artifacts in CT or MRT ima
ging. A permanent suction of 600-800 mbar is provided by a standard va
cuum pump, powered by a portable battery. Suction times up to 40 min w
ere well tolerated in all cases. We successfully used this device, per
forming 17 radiosurgical treatments in 8 patients with large or extra-
large uveal melanomas and one patient suffering from a choroidal metas
tasis.