RESUMO
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 postoperatively, 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.
RESUMO
PURPOSE: We reported the surgical efficacy of amniotic membrane graft with cryotherapy, after primary surgical resection of the conjunctival squamous cell carcinoma METHODS: Three cases of conjunctival squamous cell carcinoma were completely resected with two layered cryotherapy along inner and outer side of tumor margin The extensive conjunctival defect was reconstructed with amniotic membrane graft. We evaluated the surgical effect and recurrence of conjunctival squamous cell carcinoma after surgery. RESULTS: Conjunctiva and cornea were completely healed with no recurrence, during the follow up of 8 months, 18 months, and 22 months, respectively. CONCLUSIONS: Surgical excision with adjunctive cryotherapy in peripheral area of the tumor margin and amniotic membrane transplantation could be considered effective method for treatment of conjunctival squamous cell carcinoma.