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ISSN 1561-3070 (Electronic)

2018, Number 4

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Rev Cub Oftal 2018; 31 (4)

Corneal dellen secondary to epidermoid carcinoma of the conjunctiva

León RY, Cabrera LM, Pérez PZ, Hernández FY, Fernández GO, Vigoa AL

Language: Spanish
References: 10
Page: 88-92
PDF size: 172.61 Kb.


ABSTRACT

Corneal dellen is an area of localized corneal thinning as a result of dehydration caused by lack of humectation associated to an adjoining conjunctival bulging. Here is a 72-years old Caucasian woman with a history of hypertension, who presented continuous tearing and feeling of a foreign body in her left eye during a week. The biomicroscopic exam showed fibrovascular tissue in nasal bulb conjunctiva, which infiltrated into the cornea, it was raised of flat surface, unkeratinized, accompanied with conjunctival injection and multiple neovessels. In the peripheral cornea and adjacent to it, there was a clean, rounded depression measuring 6 mm of extension and depth up to the anterior stroma. The presumptive diagnosis was corneal dellen secondary to symptomatic grade II pterygium. The biopsy yielded the presence of squamous cell carcinoma, moderately differentiated, and associated with extensive inflammatory infiltrate with predominance of lymphocytes.


REFERENCES

  1. Kanski J. Oftalmología Clínica; Madrid: Elsevier, 2002.

  2. Ausín E, Gómez Maestra MJ, Martínez Costa R, Francés E, López Sánchez E. Tumores de la conjuntiva y córnea. An Oftalmol. 2008;16(1):10.

  3. Coroi MC, Roşca E, Muţiu G, Coroi T. Squamous carcinoma of the conjunctiva. Rom J Morphol Embryol. 2011;52(Suppl. 1):513-5.

  4. Llull MA, Curbelo MJ, Martínez D, Díaz LR, Suárez B, Martínez A. Carcinoma epidermoide de conjuntiva. Presentación de un caso. MEDISUR. 2011 [citado 01 febrero 2016];9(6). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X2011000600011

  5. Stannard C, Sauerwein W, Maree G, Lecuona K. Radiotherapy for ocular tumours. Eye (Lond). 2013;27(2):119-27.

  6. Damato B, Kacperek A, Errington D. Proton beam radiotherapy of uveal melanoma. Saudi J Ophthalmol. 2013;27(3):151-7.

  7. Graue GF, Tena LB, Finger PT. Electron beam radiation for conjunctival squamous carcinoma. Ophthal Plast Reconstr Surg. 2011;27(4):277-81.

  8. Yamamoto N, Ohmura T, Suzuki H, Shirasawa H. Successful treatment with 5-fluorouracil of conjunctival intraepithelial neoplasia refractive to mitomycin-C. Ophthalmology. 2002;109(2):249-52.

  9. Yeatts RP, Engelbrecht NE, Curry CD, Ford JG, Walter KA. 5-Fluorouracil for the treatment of intraepithelial neoplasia of the conjunctiva and cornea. Ophthalmology. 2000;107(12):2190-5.

  10. Pérez A, Cárdenas FY, Hernández Y, et al. Carcinoma de células escamosas de la conjuntiva en adultos jóvenes inmunocompetentes. Rev Cubana Oftalmol. 2014 [citado 01 febrero 2016];27(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762014000100016




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