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Christine N. Pham Lagler, Suzanne K. Freitag; Management of Periocular Actinic Keratosis: A Review of Practice Patterns among Ophthalmic Plastic Surgeons. Invest. Ophthalmol. Vis. Sci. 2011;52(14):4535.
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To determine the practice patterns of ophthalmic plastic surgeons regarding the management of actinic keratosis of the eyelid and periocular area.
A brief electronic survey was distributed to members of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) requesting their demographic information as well as treatment approaches to actinic keratosis.
One hundred nineteen of 594 (18.5%) ASOPRS members responded. The majority of respondents treat actinic keratosis <2mm from the eyelid margin by excision with permanent pathology (60%), followed by referral for Mohs excision (10%) and excision with frozen section control (9.1%). Similar responses were recorded for the treatment of actinic keratosis >2mm from the eyelid margin, with the majority of respondents treating by excision with permanent pathology (53.7%), followed by referral to dermatology for Mohs or non-Mohs treatment (8.3% each) and excision with frozen section control or topical chemotherapy (6.5% each).
While the majority of ASOPRS members utilize excisional biopsy with permanent section pathology control of margins for the treatment of actinic keratosis of the eyelid and periocular region, multiple alternative treatment approaches are also utilized.
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