The diagnosis and management of a case of giant conjunctival tumor
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
