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The diagnosis and management of a case of giant conjunctival tumor

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Session Details

Session Title: Presented Poster Session: Miscellaneous and Infections

Venue: Poster Village: Pod 3

First Author: : M.Zemba ROMANIA

Co Author(s): :    A. Stamate   C. Avram   M. Burcea        

Abstract Details

Purpose:

- To present the importance of a thorough clinical evaluation in the diagnosis and management of a case of giant conjunctival tumor with corneal extension

Setting:

- Department of Ophthalmology, “Dr. Carol Davila” Central Military Emergency University Hospital, Bucharest, Romania

Methods:

History: a 80-year-old male patient was refferred for enucleation due to a conjunctival tumor which almost covered the entire cornea Visual acuity OS: light perception Biomicroscopy: the conjunctival part of the tumor was not very wide, with only 2 millimeters (mm) extending circumferentially between 6 and 12 o'clock temporally; the corneal part covered the entire pupillary area, with only 3 mm remaining clear in the nasal cornea; irregular limits and surface with rich superficial vascularisation Ultrasound biomicroscopy: hiperreflective lesion with a height of 2-2,5 mm; clear demarcation line with the less reflective cornea Ultrasound: no sign of intraocular extension

Results:

Surgical excision: marking of the tumor’s margins with diathermy, excision of the conjunctival, limbal and corneal part of the tumor, scleral diathermy, removal of the entire corneal epithelium and amniotic membrane transplant covering the entire surface of the globe Postoperative treatment: antibiotic instilation q.i.d., antibiotic ointment b.i.d., removal of sutures 14 days postoperatively First day postoperative: poor visual acuity 20 days postoperative: visual acuity: 0.0 logMar, complete corneal epithelialization with fine vessels near the limbus in the area of excision Pathology report: disruption of the epithelial basal membrane, with pathologic cells invading the corion; diagnosis: invasive squamous cell carcinoma

Conclusions:

Invasive squamous cell carcinoma can appear extremely aggressive, but a proper surgical excision can restore complete visual function with a very good long term prognosis.

Financial Disclosure:

NONE

Financial Disclosure:

NONE

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