| BRIEF COMMUNICATION |
|
| Year : 2015 | Volume
: 63
| Issue : 8 | Page : 672-674 |
|
|
Electron beam radiotherapy for the management of recurrent extensive ocular surface squamous neoplasia with orbital extension
Ramesh Murthy1, Himika Gupta1, Rahul Krishnatry2, Siddhartha Laskar2
1 Department of Oculoplasty and Ocular Oncology, Axis Eye Clinic, Pune, India
2 Department of Radiotherapy, Tata Memorial Hospital, Mumbai, Maharashtra, India
Correspondence Address:
Ramesh Murthy
Axis Eye Clinic, 20, Prashant Society, Paud Road, Pune - 411 038, Maharashtra
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0301-4738.169798
|
|
|
Recurrent extensive ocular surface squamous neoplasia (OSSN) with orbital invasion can be successfully managed with external radiotherapy using electrons resulting in eye and vision salvage. We report a case of right eye recurrent OSSN in an immunocompetent adult Indian male, with extensive orbital involvement. The patient had two previous surgical excisions with recurrent disease. At this stage, conventionally exenteration is considered the treatment modality. However, he was treated with 5040 cGy radiotherapy (15eV electrons) resulting in complete disease regression. At the end of 3 years follow-up, the patient was disease free, maintained a vision of 20/25, with mild dry eye, well-managed with topical lubricants. Extensive OSSN with orbital invasion does not always need exenteration. External beam electron radiotherapy provides a noninvasive cure with organ and vision salvage and should be considered in extensive OSSN not amenable to simple excision biopsies. Long-term studies to evaluate the effect of radiation on such eyes are suggested. |
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
