| 현미경하 표피 절제 후 전기 소작술을 이용한 아래눈꺼풀 사마귀 제거 1예 |
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김수아, 도상희 |
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Department of Ophthalmology, St. Paul's Hospital, The Catholic University of Korea, Seoul, Korea |
| A Case of Verruca Vulgaris Removal Using Microscopic Epithelial Resection with Electrocauterization on the Lower Lid |
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Su Ah Kim, Sang Hee Doh |
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| Abstract |
Purpose
To introduce the effective treatment of Verruca Vulgaris on the lower eyelid by microscopic epithelial resection with electrocauterization. Case summary: A 46 year-old female patient presented with a four year history of growing lobulated mass on the left lower eyelid. The mass was removed using microscopic epithelial resection and remained dermal papilla was removed with electrocauterization. Hydrocolloid dressing was carried out for the management of surgical wound for seven days after surgery and it helped re-epithelialization of the skin. Topical antibiotic ointment was applied to the wound for prevent to bacterial infection during 1 month after surgery. 5 weeks later, skin healed without scar formation, and at 2-year clinical follow-up, there were no signs of recurrence. Conclusions: Microscopic epithelial resection with electrocauterization can be a useful way to decrease scar and granuloma formation by avoiding deep dermal destruction in the space of wart treatment. And this method led to shorter outcome than did non-surgical treatment. Thus, this new method of surgical treatment is appeared to be a primary beneficial treatment in case of increased ophthalmologic risk from adjacent eyelid lesion. (Korean J Optom Vis Sci 2010;9(1):32-35) |
| Key Words:
Electrocauterization, Epithelial resection, HPV, Wart |
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