Ocular surface complications secondary to eyelid resection of infiltrating basal cell carcinoma
DOI:
https://doi.org/10.70313/2718.7446.v17.n03.351Keywords:
dacryointubation, Mustardé type, infiltrating basal cell carcinoma, iatrogenic lagophthalmosAbstract
A 77-year-old female patient with the presence of a cutaneous neoformation of approximately 1 cm by 1 cm was verified at the level of the middle third and external third of the right lower palpebral eyelid, which extended to the tarsal conjunctiva of the fornix. It was decided to perform closed dacryointubation with silicone tube placement, full thickness resection of the lesion with free edges, cheek and preauricular skin rotation flap (Mustardé type) associated with autologous chondro-perichondral graft of the external ear (Matsuo type), with oral mucosa graft to restore the posterior lamella. After 15 days, the patient reports a foreign body sensation at the level of the right eye. irregularity and malposition of the lower eyelid edge, positioning abnormality of the cutaneous mucosal junction line, conjunctival hyperemia, tear breakup time of 5 seconds, tear meniscus measurement of 0.3 mm and 0.5 mm, inferior punctate epithelial keratopathy, which stains with fluorescein.
Downloads
References
Iglesias ME, Santesteban R, Larumbe A. Oncologic surgery of the eyelid and orbital region. Actas Dermosifiliogr 2015; 106: 365-375.
Krachmer JH, Mannis MJ, Holland EJ. Cornea. 5th ed. London: Elsevier, 2022.
Pfeiffer MJ, Pfeiffer N, Valor C. Estudio descriptivo sobre el carcinoma basocelular en el párpado. Arch Soc Esp Oftalmol 2015; 90: 426-431.
Fu L, Patel BC. Lagophthalmos. In: StatPearls [en línea]. Treasure Island (FL): StatPearls Publishing, 2024 Jan. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560661/
Miranda Rollón MD, Giménez Castejón D, Molero Izquierdo C et al. Manejo de colgajos cutáneos en la cirugía reconstructiva palpebral. Thea Superficie Ocular 2018; 2: 060. Available from: https://www.laboratoriosthea.com/medias/lab-350-0418_v4_web.pdf
Manodh P, Devadoss P, Kumar N. Gold weight implantation as a treatment measure for correction of paralytic lagophthalmos. Indian J Dent Res 2011; 22: 181.
Rita MRH, Deepa M, Gitanjali VC et al. Lagophthalmos: an etiological lookout to frame the decision for management. Indian J Ophthalmol 2022; 70: 3077-3082.
Published
Issue
Section
License
Copyright (c) 2024 Consejo Argentino de Oftalmología
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Con esta licencia no se permite un uso comercial de la obra original, ni la generación de obras derivadas. Las licencias Creative Commons permiten a los autores compartir y liberar sus obras en forma legal y segura.
