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[Reconstructive surgery in epibulbar tumors]

A A Kasparov, V B Georgieva, G G Ziangirova

    Vestnik Oftalmologii
    |January 1, 1993
    PubMed
    Summary

    Reconstructive microsurgery effectively removed epibulbar tumors, including Bowen

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    Area of Science:

    • Ophthalmology
    • Oncology
    • Surgical Innovation

    Background:

    • Epibulbar tumors, such as Bowen's disease and squamous-cell carcinoma, pose significant challenges in ophthalmic oncology.
    • Tumor size, infiltrative growth, and potential for recurrence necessitate advanced surgical interventions.

    Observation:

    • Fourteen patients with epibulbar tumors underwent surgical removal using reconstructive microsurgical techniques.
    • Procedures included layer-by-layer or perforating keratoplasty, with vessel blocking via CO2 laser or diathermocoagulation.

    Findings:

    • Successful tumor removal was achieved in 13 out of 14 cases, with only one recurrence.
    • Post-treatment visual acuity ranged from 0.3 to 0.8 diopters.
    • Microsurgical techniques, combined with vessel blocking, prevented tumor cell dissemination.

    Implications:

    • Reconstructive microsurgery offers a reliable and effective approach for managing challenging epibulbar tumors.
    • These methods facilitate visual recovery even in cases with severe tumor characteristics.
    • Advanced surgical techniques are crucial for improving outcomes in ophthalmic tumor treatment.

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