Kasparov A A, Georgieva V B, Ziangirova G G
Vestn Oftalmol. 1993 Jan-Feb;109(1):14-7.
Fourteen patients (14 eyes) were followed up after removal of epibulbar tumors (Bowen's disease, 6 patients, 6 eyes; squamous-cell carcinoma, 6 patients, 6 eyes; progressive nevus, 2 patients, 2 eyes). The vision acuity attained after the treatment was 0.3-0.8 diopters. A recurrence was recorded in 1 case of the 14. Surgical removal of the tumor was carried out with layer-by-layer or perforating keratoplasty. Despite the severity of the condition, the size and infiltrative growth of the tumor, its removal by reconstructive microsurgical methods with preliminary blocking of the vessels with CO2 laser of diathermocoagulation provided the absence of blasts and permitted a reliable and effective recovery of vision in the patients.
对14例（14只眼）眼球表面肿瘤（鲍温病6例6只眼、鳞状细胞癌6例6只眼、进行性黑痣2例2只眼）切除术后进行随访。治疗后视力达到0.3 - 0.8屈光度。14例中有1例复发。采用分层或穿透性角膜移植术进行肿瘤切除。尽管病情严重、肿瘤体积大且呈浸润性生长，但通过重建显微外科方法切除肿瘤，并预先用二氧化碳激光或透热凝固法阻断血管，可避免肿瘤细胞扩散，使患者视力得到可靠而有效的恢复。
