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May 1961

Carcinoma of the Conjunctiva After EnucleationA Case Report

Author Affiliations

Department of Ophthalmology, Indiana University Medical Center.; Resident, Department of Ophthalmology (Dr. Fiedler), and Clinical Fellow, National Cancer Institute, Department of Pathology (Dr. Costin).

Arch Ophthalmol. 1961;65(5):669-671. doi:10.1001/archopht.1961.01840020671011

A case of epidermoid carcinoma of the conjunctiva, occurring 9 years after enucleation, and which was mistakenly considered an orbital cellulitis, is presented for interest. As far as can be determined, this is the first such case reported.

Report of Case  A 57-year-old white male farmer entered the Ophthalmology Service at the Indiana University Medical Center with a history of pain, swelling, and discharge of the left orbit which he had had over a 3-month period. The left eye had been enucleated 9 years previously after having been struck by a grease gun with which he was working. At operation, a plastic spherical implant was inserted, and he was fitted with a plastic prosthesis which he wore daily.The present illness became manifest, following an attack of "the flu," as pain and swelling of the orbital contents. His symptoms included anorexia, malaise, and generalized weakness. He was given broad-spectrum antibiotics

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