IP International Journal of Ocular Oncology and Oculoplasty


Limited resection for limbal dysplasia by conjunctivectomy and medial canthectomy for limbal carcinoma involving medial canthus - case series


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Author Details: Ram Lal Sharma, Kalpana Sharma, Preeti Chopra

Volume : 3

Issue : 1

Online ISSN : 2581-5016

Print ISSN : 2581-5024

Article First Page : 73

Article End Page : 75


Abstract

Limbal dysplasia refers to the abnormal maturation of the epithelium as it differentiates from the basal to superficial layers. This is premalignant condition that needs wide excision and close follow up. Squamous cell carcinoma of the conjunctiva arises at the epithelial transition zone of limbus which tends to involve cornea or adjacent bulbar conjunctiva. Management of these cases varies from topical chemotherapy, surgical excision, cryotherapy or their combination in small lesions to enucleation or exenteration in large or invasive lesions. We report 2 cases one with sever limbal dysplasia removed by localised conjunctivectomy and other case of invasive limbal squamous cell carcinoma involving both lids on medial side, where limited resection was performed by enucleation and medial canthectomy instead of exentration. So by limited resection one can avoid a radical surgery in cases where extensive infiltration of lid is not present.