The effect of surgical wide excision and amniotic membrane transplantation with adjuvant topical mitomycin c treatment in recurrent conjunctival-corneal intraepithelial neoplasia

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Abstract

Purpose: To investigate the effect of surgical wide excision and amniotic membrane transplantation with adjuvant mitomycin C 0.04% eye drops on recurrent conjunctival-corneal intraepithelial neoplasia (CCIN). Methods: The authors applied amniotic membrane transplantation after total surgical excision of a tumor to a patient with recurrent conjunctival-corneal intraepithelial neoplasia. The tumor co-existed as a conjunctival lesion and corneal opacity. After one week, the patient received mitomycin C 0.04% eye drops four times a day for one month to prevent recurrence. Ocular complications and recurrence were evaluated under slit lamp microscopy for one year. Results: Corneal epithelium completely healed within one week after the surgery. Both conjunctival and corneal lesions were completely regressed and no recurrence has been found with follow-up to 24 months. Conclusions: Surgical wide excision and amniotic membrane transplantation with adjuvant topical MMC would be an effective treatment modality for treatment of recurrent CCIN.

Original languageEnglish
Pages (from-to)192-195
Number of pages4
JournalSeminars in Ophthalmology
Volume29
Issue number4
DOIs
StatePublished - Jul 2014

Bibliographical note

Funding Information:
Received 7 January 2013; accepted 26 May 2013; published online 19 August 2013 *This work was supported by a National Research Foundation of Korea Grant founded by the Korean Government (2012038648). Correspondence: Eun Chul Kim, MD, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 2 Sosa Dong, Wonmi Gu, Bucheon, Kyunggi Do, 420-717, Korea. E-mail: [email protected]

Keywords

  • Aamniotic membrane transplantation
  • Corneal opacity
  • Recurrent conjunctival-corneal intraepithelial neoplasia (CCIN)
  • Surgical wide excision
  • Topical mitomycin C

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