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D.E. Pelayes, D. Colombero, C.H. Pastore, J.O. Zarate; Total Lamellar Conjunctivo–Esclero–Keratectomy. A New Technique for the treatment of Corneal Tumors . Invest. Ophthalmol. Vis. Sci. 2006;47(13):4699.
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to present a new surgical technique for the management of corneal tumors: a lamellar conjunctivo–esclero–keratectomy (LCEK) combined with the use of cryoteraphy and different allografts (amniotic membrane, sclera, fascia lata).
five cases of corneal tumors were treated with LCEK. The samples were fixed and studied with hematoxylin & eosin, cytokeratins, S–100, vimentin, HMB–45 and melan A. The specific step–by–step details of the surgical removal of corneal tumors is described.
four cases with squamous cell carcinomas and one case of melanoma were treated with LCEK. Mean follow–up was 11 months. A detailed stepwise approach of the surgical management of the cases is presented. A no–touch method was used and direct manipulation of the tumor was avoided. No recurrences were seen in our series.
we report a new surgical technique for the treatment of tumors invading the cornea, which provide a complete removal in one piece and minimize local recurrence.
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