Conjunctival intraepithelial neoplasia with corneal furrow degeneration

Indian Journal of Ophthalmology

关键词: Bevacizumab;    intravitreal;    neovascular age related macular degeneration;    systemic;    systematic review;    systematic review of reviews;    Hydrophillic nanogels;    ophthalmic drug delivery;    nanosponges;    solid lipid nanoparticles;    Adult strabismus;    personality;    psychosocial impact;    quality of life;    squint;    Maculopathy;    optic pit;    spectral domain optical coherence tomography;    Corneal hysteresis;    corneal resistance factor;    exfoliative glaucoma;    primary open angle glaucoma;    A-constant;    biometry;    individualized;    intraocular lenses;    personal;    Tecnis;    E-learning;    medical education;    methodology;    Chronic macular hole;    macular hole duration;    macular hole size;    macular hole surgery;    Adult strabismus-20;    functional;    psychosocial;    strabismus;    surgery;    Retinal detachment;    vitreous shaving;    gas;    Cornea;    conjunctival intraepithelial neoplasia;    conjunctival squamous cell carcinoma;    optical coherence tomography;    Corneal Furrow degeneration;   

DOI  :  10.4103/0301-4738.138625

来源: DOAJ

【 摘 要 】

A 68-year-old man presented with redness of left eye since six months. Examination revealed bilateral corneal furrow degeneration. Left eye lesion was suggestive of conjunctival squamous cell carcinoma, encroaching on to cornea. Anterior segment optical coherence tomography (AS-OCT) confirmed peripheral corneal thinning. Fluorescein angiography confirmed intrinsic vascularity of lesion. Patient was managed with "no touch" surgical excision, dry keratectomy without alcohol, cryotherapy, and primary closure. Pathologic examination of removed tissue confirmed clinical diagnosis. Management of this particular case required modification of standard treatment protocol. Unlike the alcohol-assisted technique of tumor dissection described, ethyl alcohol was not used for risk of corneal perforation due to underlying peripheral corneal thinning. Likewise, topical steroids were withheld in the post-operative period. Three weeks post-operatively, left eye was healing well. Hence, per-operative usage of absolute alcohol and post-operative use of topical steroids may be best avoided in such eyes.

【 授权许可】

Unknown