[Reconstructive surgery in epibulbar tumors]

Fourteen patients (14 eyes) were followed up after removal of epibulbar tumors (Bowen's disease, 6 patients, 6 eyes; squamous-cell carcinoma, 6 patients, 6 eyes; progressive nevus, 2 patients, 2 eyes). The vision acuity attained after the treatment was 0.3-0.8 diopters. A recurrence was recorded in 1 case of the 14. Surgical removal of the tumor was carried out with layer-by-layer or perforating keratoplasty. Despite the severity of the condition, the size and infiltrative growth of the tumor, its removal by reconstructive microsurgical methods with preliminary blocking of the vessels with CO2 laser of diathermocoagulation provided the absence of blasts and permitted a reliable and effective recovery of vision in the patients.