Table of Contents - WOC 2012

FP-ONC-SU 343 (2)
Large Basal Cell Carcinomas of the Eyelid
Pushker Neelam (1) , khurana Saurbhi (1) , Kashyap Seema (1) ,
Bajaj Mandeep S (1) , Ghose Supriyo (1)
1. Dr. Rajen Dra Prasad Centre for Ophthalmic Sciences, All India Institute of
Medical Sciences
Purpose: To report the clinical Profile and management of extensive basal cell
carcinomas of the eyelid.
Method: Retrospective analysis of cases of basal cell carcinomas involving
more than half of the eyelid was done.
Results: Ten cases were studied. 5 cases with tumor confined to the lids were
managed with mass excision with frozen section control or removal of 4mm
margin of normal tissue. Lid reconstruction using a combination of rotation
flaps with skin graft and posterior lamellar reconstruction was done. Two cases
with orbital involvement underwent exenteration. Three cases had recurrent
tumors. Of these 1 had minimal post septal involvement and was managed
with tumor excision with lid reconstruction followed by radiotherapy. One
case with involvement of the maxillary sinus received radiotherapy followed
by excision by the maxillofacial surgeons. One case with multiple lesions had
previously undergone surgical excision and radiotherapy and refused further
treatment. Of the 8 cases that underwent surgery, no recurrence has been
noted till a follow up of 1-4 years.
Conclusion: Extensive basal cell carcinomas that need major lid reconstruction
or exenteration are rare. Using a combination of techniques, a good surgical
outcome with minimal recurrence is achievable.
FP-ONC-SU 343 (3)
Kaposi›s Sarcoma of Lid: A Rare Clinical presentation in a HIV
Positive Indian
Kamath Ajay (1) , Kedia Vivek (1) , Kamath Manjunath (1) , Karat Shubashree (1)
1. KMC Hospital, Manipal University
Introduction: Kaposi sarcoma is a spindle cell tumor of mesenchymal origin.
Kaposi sarcoma occurs in 24% of patients with AIDS as reported by Center for
Disease Control and Prevention (CDC). Ophthalmic involvement with Kaposi
sarcoma occurs in 24–30% of AIDS patients.
Case report: A 26 year old heterosexual Indian male presented with a purplish
nodular growth on the right eye upper lid since one year. It was non-tender and
slowly progressive in nature. This was associated with purplish lesions on hard
palate. On examination lid mass was found to be 4x2cm in size, conjunctiva and
the rest were normal. Blood test for HIV was proven by ELISA. The CD4 count
was found to be 301cells/mm3. Biopsy from both lesions showed characteristic
slit like vascular spaces in mid-dermis, with RBC extravasation dissecting into
surrounding groups of spindle cells suggestive of Kaposi sarcoma. CD 31 and
CD 34 markers were positive in this patient. Patient was started on a three drug
antiretroviral therapy and planned to be followed by radiotherapy.
Conclusion: We report this case for its rarity in India. However since the advent
of AIDS the prevalence of Kaposi sarcoma has increased necessitating the
need for awareness.
WOC2012 Abstract Book
FP-ONC-SU 343 (4)
Hyaluronic Acid Gel Ultrasound Biomicroscopy (USB) Visualization
in Eyelid
Grusha Yaroslav (1,2) , Ambartsumyan Asmik (1) , Agafonova Elena (2)
1. Institute of Eye Diseases of Russian Academy of Medical Sciences
2. I.M.Sechenov First Moscow State Medical University
Different techniques of eyelid weighting were proposed, one of them use of
hyaluronic acid gel in patients with paralytic lagophthalmos.
Purpose: To estimate possibilities of visualization of hyaluronic acid gel in
upper eyelid after injection.
Methods: 10 patients (10 eyes) with acute facial nerve palsy were included into
the study. In order to reduce lagophthalmos (3-6mm) 0, 1 - 1,1ml of hyaluronic
acid gel (Restylane Q-Med) were injected pretarsaly into upper eyelid. Patients
were followed till 6 months including USB (OTI Scan 1000) investigation of
upper lid tissues.
Results: No cases of exposure keratopathy were noted during 6 month period.
Lagophthalmos reduction outcome were the following: 1 week after injection
- 1, 3mm (0 - 3mm); 1 month - 1, 7mm (0, 5 - 3mm). Gradual reduction of the
injection effect were followed till 6 month - 2, 1mm (0, 5 - 3mm). Asymmetry of
eyelid contour were noted in all cases during 4 month and in 8 patients during
6 month period. USB visualizes within eyelid multiple reflections spaces of
irregular shapes (gel depo?), surrounded by hyperreflection septal structures.
Conclusion: The first data indicates that details of hyaluronic acid gel
distribution may be estimated by US within 6 months.
FP-ONC-SU 343 (5)
High-Resolution Spectral Domain Optical Coherence Tomography
(SD-OCT) Macular Findings in Eyes with Choroidal Melanoma
Arias Juan (1) , Serrano Martin (1) , Arevalo J. Fernando (1)
1. Retina and Vitreous Service, ClÃnica Oftalmológica Centro Caracas
Objective: To describe the spectral-domain optical coherence tomography
ocular features in patients with choroidal melanoma.
Methods: Case series.
Results: Case 1 female, 34 year-old. The OCT findings included serous
macular retinal detachment, separation of the inner and outer segments of
the photoreceptors, retina and macular thickening, and hipereflective vitreous
dots and floaters. Case 2 male, 57 year-old. The OCT findings included a flat
and serous macular retinal detachment. Hypereflective dots between neural
retina and the retinal pigment epithelium, separation of the inner and outer
segments of the photoreceptors, and floating vitreous hipereflective dots. Case
3 female, 25 year-old. The OCT findings included macular exudative retinal
detachment, subfoveal deposits dome-shaped with hipereflectivity, separation
of the inner and outer segments of the photoreceptors, and floating vitreous
hipereflective dots. Case 4 female, 62 year-old. The OCT findings included
macular neurosensory retinal detachment, separation of the inner and outer
segments of the photoreceptors, hipereflective line on the surface of the retina,
a lamellar macular hole, and vitreous hipereflective dots.
Conclusion: The most frequent SD-OCT macular findings in patients with
choroidal melanoma included macular retinal detachment, separation of
the inner and outer segments of the photoreceptors, and floating vitreous
hipereflective dots. These findings might correlate with tumor activity.
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