Abstract
Purpose: :
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).
Methods: :
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.
Results: :
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.
Conclusions: :
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.
Keywords: oncology • tumors • cornea: clinical science