Asymptomatic chronic red eye: A surgical technique case report.

Autor:	Matos DB; Centro Hospitalar Universitário Lisboa Norte - Serviço de Oftalmologia, Portugal; Centro de Estudos das Ciências da Visão, Faculdade de Medicina da Universidade de Lisboa, Portugal. Electronic address: diogobernardomatos@edu.ulisboa.pt., Guerra P; Centro Hospitalar Universitário Lisboa Norte - Serviço de Oftalmologia, Portugal; Centro de Estudos das Ciências da Visão, Faculdade de Medicina da Universidade de Lisboa, Portugal., José P; Centro Hospitalar Universitário Lisboa Norte - Serviço de Oftalmologia, Portugal; Centro de Estudos das Ciências da Visão, Faculdade de Medicina da Universidade de Lisboa, Portugal., Ferreira R; Centro Hospitalar Universitário Lisboa Norte - Serviço de Oftalmologia, Portugal., Quintas A; Centro Hospitalar Universitário Lisboa Norte - Serviço de Oftalmologia, Portugal; Centro de Estudos das Ciências da Visão, Faculdade de Medicina da Universidade de Lisboa, Portugal., Neves CM; Centro Hospitalar Universitário Lisboa Norte - Serviço de Oftalmologia, Portugal; Centro de Estudos das Ciências da Visão, Faculdade de Medicina da Universidade de Lisboa, Portugal.
Jazyk:	angličtina
Zdroj:	International journal of surgery case reports [Int J Surg Case Rep] 2023 Jul; Vol. 108, pp. 108394. Date of Electronic Publication: 2023 Jun 16.
DOI:	10.1016/j.ijscr.2023.108394
Abstrakt:	Introduction and importance: Ocular Surface Squamous-cell Neoplasia (OSSN) is an infrequent diagnosis whose clinical suspicion assumes great importance and should not be overlooked. The following case-report aims to describe the diagnosis and treatment of a patient with OSSN whose complaints were mild in comparison to the severity of the disease. The chosen surgical technique was paramount for a disease-free outcome while minimizing the scarring effects of surgical removal. Case Presentation: Patient presented mild discomfort right eye and painless persistent hyperaemia. Slit-lamp observation showed a clear diagnosis and lesion's extent evaluated through multimodal imaging. After surgical excision the patient underwent topical ocular treatment with mitomycin-C for a higher margin of safety even before the pathology results were available. Discussion: Ancillary exam technology improvement has allowed a higher margin of safety while determining the extent of OSSN lesions. In the absence of clear diagnostic criteria and guidelines, clinical reasoning and OSSN awareness are critical for timely diagnosis and treatment, as several treatment options are available, allowing an increasing number of patients to be treated non-invasively. In this case-report, we highlight the importance of early-recognition and the reasoning for choosing a combined treatment option with a higher margin of safety. Conclusion: Early recognition and prompt treatment of OSSN lesions is of paramount importance to avoid ocular invasiveness and potentially preclude both ocular and systemic complication. The choice of a combined surgical and medical approach may provide a higher margin of safety for suitable cases. This patient is currently disease-free at 6-month follow-up. Competing Interests: Conflict of interest statement None of the authors have any proprietary interests or conflicts of interest related to this submission. (Copyright © 2023. Published by Elsevier Ltd.)
Databáze:	MEDLINE
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