Dr.Maxwell Silva

Dr.Smita Harne

Abstract

45 years old/male, presented to with chief complaints of swelling in Left eye since 15 years. His R/E vision 6/6 and L/E 6/9. L/E: Mass over upper and lower eyelid. Mass of 5*4*3cm near medial canthus and on nasal bulbar conjunctiva upto limbus. CT Head & Neck- showingFairly defined , heterogeneously enhancing ulceroproliferative soft tissue lesion of left eyelid, involing scleral lamella ,cornea ,medial rectus muscle, inner canthus – S/O neoplastic ethiology. HISTOPATH-S/O -BCC- keratotic
MANAGEMENT: patient underwent Wide local excision with amniotic membrane grafting with Bilobed Paramedian forehead flap with buccal mucosal grafting
Patient is doing routine follow up weekly and wound is healthy
CONCLUSION:If properly excised BCC can be cured completely,in our case CT scan showed scleral lamella involvment,so scleral patch should be kept ready,but intraop we found sclera was not involved so we did extended conjunctival excision with amniotic membrane transplantation