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The role of cryosurgery in external ocular and periocular disease.
Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1977 Jul-Aug; 83(4 Pt 1):713-24.TS

Abstract

This preliminary report suggests that cryosurgery has a definite place in the management of certain external periocular and ocular problems. Cryosurgery for basal or squamous cell carcinoma of the lid is easily performed, gives excellent cosmetic results, and has a low recurrence rate. It is not recommended for lesions involving the fornices, or sclerotic and morphea-type basal cell carcinomas. Tumor recurrences following radiation, surgery, or cryosurgery can still be retreated with cryosurgery. To date, there is no evidence that cryosurgery at temperatures above -40 C causes damage to the lacrimal outflow system. Cryosurgery is of value in the management of trichiasis, reactive lymphoid hyperplasia, spider hemangioma, molluscum contagiosum, and conjunctival dysplasia. Cryotherapy for management of intraepithelial epithelioma and squamous cell carcinoma of the conjunctiva and cornea is still under investigation. Cryosurgery will, in our opinion, become the treatment of choice for basal and squamous cell carcinomas of the eyelids. The 96% cure rate with one treatment for these lesions reported here is artificially high since the follow-up period is too short. However, retreatment with cryosurgery is a simple ten-minute outpatient procedure which is certainly not the case with recurrences after other forms of therapy.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

898492

Citation

Fraunfelder, F T., et al. "The Role of Cryosurgery in External Ocular and Periocular Disease." Transactions. Section On Ophthalmology. American Academy of Ophthalmology and Otolaryngology, vol. 83, no. 4 Pt 1, 1977, pp. 713-24.
Fraunfelder FT, Wallace TR, Farris HE, et al. The role of cryosurgery in external ocular and periocular disease. Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1977;83(4 Pt 1):713-24.
Fraunfelder, F. T., Wallace, T. R., Farris, H. E., Watkins, J., Hendrickson, R., Smead, W. J., & Limmer, B. L. (1977). The role of cryosurgery in external ocular and periocular disease. Transactions. Section On Ophthalmology. American Academy of Ophthalmology and Otolaryngology, 83(4 Pt 1), 713-24.
Fraunfelder FT, et al. The Role of Cryosurgery in External Ocular and Periocular Disease. Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1977 Jul-Aug;83(4 Pt 1):713-24. PubMed PMID: 898492.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The role of cryosurgery in external ocular and periocular disease. AU - Fraunfelder,F T, AU - Wallace,T R, AU - Farris,H E, AU - Watkins,J,3rd AU - Hendrickson,R, AU - Smead,W J, AU - Limmer,B L, PY - 1977/7/1/pubmed PY - 1977/7/1/medline PY - 1977/7/1/entrez SP - 713 EP - 24 JF - Transactions. Section on Ophthalmology. American Academy of Ophthalmology and Otolaryngology JO - Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol VL - 83 IS - 4 Pt 1 N2 - This preliminary report suggests that cryosurgery has a definite place in the management of certain external periocular and ocular problems. Cryosurgery for basal or squamous cell carcinoma of the lid is easily performed, gives excellent cosmetic results, and has a low recurrence rate. It is not recommended for lesions involving the fornices, or sclerotic and morphea-type basal cell carcinomas. Tumor recurrences following radiation, surgery, or cryosurgery can still be retreated with cryosurgery. To date, there is no evidence that cryosurgery at temperatures above -40 C causes damage to the lacrimal outflow system. Cryosurgery is of value in the management of trichiasis, reactive lymphoid hyperplasia, spider hemangioma, molluscum contagiosum, and conjunctival dysplasia. Cryotherapy for management of intraepithelial epithelioma and squamous cell carcinoma of the conjunctiva and cornea is still under investigation. Cryosurgery will, in our opinion, become the treatment of choice for basal and squamous cell carcinomas of the eyelids. The 96% cure rate with one treatment for these lesions reported here is artificially high since the follow-up period is too short. However, retreatment with cryosurgery is a simple ten-minute outpatient procedure which is certainly not the case with recurrences after other forms of therapy. SN - 0161-6978 UR - https://www.unboundmedicine.com/medline/citation/898492/The_role_of_cryosurgery_in_external_ocular_and_periocular_disease_ DB - PRIME DP - Unbound Medicine ER -