98th Annual Meeting DOG 2000

P 127

Bilateral conjunctival intraepithelial neoplasia

F. Fanihagh1, S. Kremmer1

Purpose: Case report of a 59-year old man who presented with pain, redness, and watering in both eyes.

After a long history of local medical treatment there was no changes in the inflammatory signs and irritations. Histopathologic evaluation of the biopsie revealed on the right eye a conjunctival intraepithelial carcinoma. The finding of the left eye was a conjunctival intraepithelial dysplasia.

History: The NMR shows no invasion of the bulbus occuli. Initially we did a wide excision of both conjunctiva with documented histological clear margins of resection and a reconstruction with a free lap and amniotic membrane.

Conclusion: In cases with unclear inflammatory signs and irritation of the conjunctiva a biopsy with histological evaluation is reasonable.

Institute of Ophthalmology, University of Essen1