[Results of a multi-year use of combined laser-surgical treatment in tumors of the epibulbar and limbocorneal localizations]. / Rezul'taty mnogoletnego opyta ispol'zovaniia kombinirovannogo lazerno-khirurgicheskogo lecheniia opukholei épibul'barnoí i limborogovichnoí lokalizatsii.

Fifty-five patients (55 eyes) were followed up. The "Romashka-2" CO2-laser plant was used for treatment of epithelial and epibulbar tumors (41 patients, 41 eyes). Microsurgical interventions with subsequent lamellar or penetrating keratoplasty were made in 14 patients (14 eyes). The experimental group of patients was followed up from 3 to 10 years. Relapses were registered in 4 eyes (4 patients). The CO2-laser treatment had a number of advantages before surgery or cryotreatment in removing the epibulbar tumors without growth in the cornea. Ablasticity, minimal trauma to tissues and evaporation of diffusive neoplasms can be named among such advantages. In cases of growth of epibulbar tumors in the cornea, there were direct indications for keratoplasty with preliminary barrage of CO2 irradiation on the sides of the mucous tunic of epibulbar tumor. Tumors were surgically removed with subsequent lamellar or penetrating keratoplasty being made with respect to a tumor type. The perfection of surgical technique consists in that one transplant of a bigger diameter is used instead of a corneoscleral transplant.

[Reconstructive surgery in epibulbar tumors]. / Rekonstruktivnaia khirurgiia épibul'barnykh opukholei.

Fourteen patients (14 eyes) were followed up after removal of epibulbar tumors (Bowen's disease, 6 patients, 6 eyes; squamous-cell carcinoma, 6 patients, 6 eyes; progressive nevus, 2 patients, 2 eyes). The vision acuity attained after the treatment was 0.3-0.8 diopters. A recurrence was recorded in 1 case of the 14. Surgical removal of the tumor was carried out with layer-by-layer or perforating keratoplasty. Despite the severity of the condition, the size and infiltrative growth of the tumor, its removal by reconstructive microsurgical methods with preliminary blocking of the vessels with CO2 laser of diathermocoagulation provided the absence of blasts and permitted a reliable and effective recovery of vision in the patients.