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Updated: Jul 12, 2026

Anterior High-Resolution Optical Coherence Tomography in the Diagnosis and Therapeutic Monitoring of Ocular Surface Squamous Neoplasia
Published on: August 9, 2024
Invasive spindle cell carcinoma of the conjunctiva managed by full-thickness eye wall resection
Jerry A Shields1, Ralph C Eagle, Brian P Marr
1Oncology Service, Wills Eye Institute, Thomas Jefferson University, Philadelphia, PA, USA.
Purpose:
To describe an invasive spindle cell carcinoma of the conjunctiva managed by full-thickness eye wall resection.
Methods:
A 51-year-old man developed a conjunctival mass that was excised and proved to be a spindle cell carcinoma. A tumor recurrence 20 months later was evaluated by ultrasound biomicroscopy (UBM) and managed by full-thickness eye wall resection and scleral graft.
Results:
UBM depicted an epibulbar mass with deep invasion through the limbus to Descemet membrane. The tumor was removed by full-thickness eye wall resection and scleral graft.
Conclusions:
Deep scleral invasion of conjunctival spindle cell carcinoma can sometimes be managed by local resection rather than irradiation or enucleation.
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