A Successfully Treated Case of Invasive Ocular Surface Squamous Neoplasia Involving the Subtotal Cornea in a Monocular Patient: Management in a Resource-Constrained Setting

Author:

Henok Samuel Hailemichael1,Bernard Alec23ORCID,Tabin Geoffrey23,Shibeshi Menen Ayalew1

Affiliation:

1. Department of Ophthalmology, Addis Ababa University, Addis Ababa, Ethiopia;

2. Department of Ophthalmology, Stanford Health Care, Palo Alto, CA; and

3. HCP Cure Blindness, Waterbury, VT.

Abstract

Abstract: We present a case of a 65-year-old monocular patient who was clinically diagnosed with ocular surface squamous neoplasia covering all but 2 clock hours of the limbus and almost the entire cornea. He underwent complete tumor excision followed by amniotic membrane transplantation. Postexcision, the patient had a clear cornea and stable ocular surface without inflammation or recurrence for 18 months of follow-up. The visual acuity improved to 6/18 from count fingers at face. The histopathology result uncovered squamous cell carcinoma of conjunctiva and cornea. The absence of recurrence can be attributed to complete excision and intraoperative mitomycin C.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference18 articles.

1. Ocular surface squamous neoplasia;Lee;Surv Ophthalmol,1995

2. Epidemiology of ocular surface squamous neoplasia in Africa;Gichuhi;Trop Med Int Health,2013

3. Epidemiology of squamous cell conjunctival cancer;Sun;Cancer Epidemiol,1997

4. A review of the aetiology of squamous cell carcinoma of the conjunctiva;Newton;Br J Cancer,1996

5. Ocular surface squamous neoplasia: a review;Basti;Cornea,2003

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