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      Orbital Spread of Conjunctival Squamous Cell Carcinoma following Evisceration: A Reminder of the Importance of Thorough Evaluation before and after Destructive Surgery

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          Evisceration is a neglected surgery usually performed by the most junior ophthalmologists in unsalvageable eyes with panophthalmitis. It is universal knowledge that evisceration is contraindicated in eyes with intraocular malignancy. We report 2 patients who presented to us with squamous cell carcinoma (SCC) in eviscerated sockets. While one of them was diagnosed with SCC on histopathological examination of the eviscerated contents, the other had history suggestive of conjunctival SCC prior to evisceration. The second patient presented to us with complaints of poorly fitting prostheses. We conclude that it is imperative to rule out not just intraocular but also adnexal malignancy prior to evisceration, and these eyes should be regularly followed up and carefully examined if poor fitting of the prostheses develops.

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          A study of the indications and changing trends of evisceration in north India.

          To study the demographic pattern and indications for evisceration in north India and to evaluate the changing trends over the last decade.
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            Incidence of sympathetic ophthalmia after penetrating eye injury and choice of treatment.

            Sympathetic ophthalmia, a diffuse bilateral granulomatous panuveitis, is a serious potential complication after penetrating eye injury. Many surgeons recommend enucleation within two weeks of trauma to prevent this condition. We retrospectively reviewed the medical records of patients with penetrating ocular injuries who had either evisceration or enucleation to determine the incidence of sympathetic ophthalmia and to evaluate the surgical interventions and their complications. Age at surgery, time after penetrating trauma, surgery technique, follow-up period, ophthalmic examination of the fellow eye, and surgical complications were evaluated.

              Author and article information

              S. Karger AG
              June 2005
              08 June 2005
              : 219
              : 3
              : 177-180
              aDivision of Orbit, Oculoplasty and Reconstructive Surgery and bDivision of Ocular Pathology,
              85251 Ophthalmologica 2005;219:177–180
              © 2005 S. Karger AG, Basel

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              Figures: 3, References: 8, Pages: 4
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