|Year : 1967 | Volume
| Issue : 5 | Page : 200
Excision and pedicle graft (in one stage) in a case of carcinoma of upper eye lid
Eye and E.N.T. Department, Patna Medical College Hospital, Patna, India
|Date of Web Publication||21-Jan-2008|
G N Prasad
Eye and E.N.T. Department, Patna Medical College Hospital, Patna
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Prasad G N. Excision and pedicle graft (in one stage) in a case of carcinoma of upper eye lid. Indian J Ophthalmol 1967;15:200
Mitani Devi, Hindu female aged 32 years presented with the complaints of (1) itching of left upper lid for 2 years and (2) swelling of the left upper lid for the last 1 year, which slowly increased in size.
On examination: The right eye showed no abnormality. The left eye had ptosis of a mechanical nature. A swelling of the size of a small pea on the lateral third of the lid had ulcerated on the conjunctival aspect. The swelling was hard in consistancy but not tender and the margins of the ulcer were everted and fixed to the surrounding tissue. The skin over it was free. Preauricular glands were not palpable. Vision-both eyes 6/6. [Figure - 1]
| Treatment|| |
Total resection of the growth under general anaesthesia was done, with simultaneous repair by a pedicle graft, from the forehead. [Figure - 2] The ends of the pedicle were trimmed after 3 weeks. Cryst. Penicillin 5 lacs I.M. 6 hourly. Streptomycin sulphate 1 gm. I.M. daily. Dressing was done with Ne-Ba-Sulf powder on the 5th day and thereafter every alternate day. Alternate stitches were removed on the 7th post operative day, and on the 11th day, other stitches were also removed.
Revealed it to be a case of squamous cell carcinoma.
| Follow up|| |
The patient was followed up for about 3 months after the operation. There was no recurrence of the growth. The grafting was successful and there was no more drooping of the left upper lid.
| References|| |
Clarke Clement, C. (1954), Amer. J. Ophth. 37: 270.
Fox Sidney. A. (1961), Amer. J. Ophth. 52: 1.
Stallard H. B. (1959), British J. Ophth. 43: 159.
[Figure - 1], [Figure - 2]