Back to Search Start Over

Conjunctival intraepithelial neoplasia with corneal furrow degeneration

Conjunctival intraepithelial neoplasia with corneal furrow degeneration

Authors :
Pukhraj Rishi
Carol L Shields
Ralph C Eagle
Source :
Indian Journal of Ophthalmology, Vol 62, Iss 7, Pp 809-811 (2014)
Publication Year :
2014
Publisher :
Wolters Kluwer Medknow Publications, 2014.

Abstract

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 post-operatively, 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.

Details

Language :
English
ISSN :
03014738 and 19983689
Volume :
62
Issue :
7
Database :
Directory of Open Access Journals
Journal :
Indian Journal of Ophthalmology
Publication Type :
Academic Journal
Accession number :
edsdoj.84928a1e16d445490d917b410ee2577
Document Type :
article
Full Text :
https://doi.org/10.4103/0301-4738.138625