FEB 06, 2018
Squamous Neoplasia: Surgery vs. Topical Chemotherapy
1-Minute Video
01:32
Conjunctiva, Cornea , Ocular Pathology/Oncology
Surgical resection has historically been used to treat ocular surface squamous neoplasia, but non-surgical interventions are gaining popularity. In this video, Dr. Carol Shields discusses the benefits and drawbacks of topical drops vs. old-fashioned surgery for squamous neoplasia. Surgical interventions first require a thorough office exam to check for margins, followed by no-touch surgery, complete resection without BSS, cryotherapy and reconstruction. Of the 3 types of available drops, topical mitomycin C (MMC) and 5-fluorouracil (5-FU) are both harsher to the eye but work faster. Conversely, interferon is gentler but lesions will take longer to respond.
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