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Topical application of 5-Fluorouracil in premalignant lesions of cornea, conjunctiva and eyelid

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Abstract

Local application of 5-Fluorouracil was practised on 5 patients. In 3 patients with multiple premalignant oculo-cutaneous lesions, two of whom had also premalignant epibulbar lesions, local 5% 5-Fu cream and/or 1% 5-Fu eyedrops were applied. In 2 other patients who had only premalignant lesions on the cornea and conjunctiva, 1% 5-Fu eyedrops were used only. In animal experiments 1% 5-Fu was not found to cause any damage to normal corneal and conjunctival epithelium. The frequency of the applications and the duration of the treatment were dependent on the location and extent of the lesions. Except for easily treatable lesions, caused by the separation of the tumour epithelium, no complications of local 5-Fu treatment were seen. The visual acuity improved in all 4 patients in whom the cornea was affected. In these premalignant conditions the diagnosis and assessment of the therapy were based on exfoliative cytology and biopsies.

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References

  • Blumenkranz M, Hernandez E, Ophir A and Norton EWD (1984) 5-fluorouracil: New applications in complicated retinal detachment for an established antimetabolite. Ophthalmology 91:122–130

    Google Scholar 

  • Caravella LP, Burns JA, Zangmeister M (1981) Punctal-canalicular stenosis related to systemic fluorouracil therapy. Arch Ophthal 99:284–286

    Google Scholar 

  • Fantes FE, Heuer DK, Parrish RK, Sossi N and Gressel MG (1985) Topical fluorouracil pharmakinetics in normal rabbit eyes. Arch Ophthal 103:953–955

    Google Scholar 

  • Fraunfelder FT and Wingfield D (1983) Management of intraepithelial conjunctival tumors and squamous cell caracinomas. Amer J Ophthal 95:359–363

    Google Scholar 

  • Goette DK (1981) Topical chemotherapy with 5-fluorouracil: a review. J Amer Acad Dermatol 4:633–649

    Google Scholar 

  • Heuer DK, Parrish RK, Gressel MG, Hodapp E, Palmberg PF and Anderson DR (1984) 5-fluorouracil and glaucoma filtering surgery. II. A pilot study. Ophthalmology 91:384–394

    Google Scholar 

  • Heuer DK, Gressel MG, Parrish RK, Folberg R, Dillberger JE and Altman NH (1986) Topical fluorouracil. II. Postoperative administration in an animal model of glaucoma filtering surgery. Arch Ophthal 104:132–136

    Google Scholar 

  • de Keizer RJW (1982) Pterygium excision with or without postoperative irradition, a double-blind study. Docum Ophthal 52:309–315

    Google Scholar 

  • Klein E (1968) Tumors of Skin IX. Local cytostatic therapy of cutaneous mucosal pre-maligant and malignant lesions. New York State J Med 68:886–899

    Google Scholar 

  • Klosterman GF(1970) Effects of 5-fluorouracil (5Fu) ointment on normal and diseased skin. Histological findings and deep action. Dermatologica suppl I:47–54

  • Lever WF and Schaumburg-Lever G (1975) Histopathology of the skin. Philadelphia, Lippincott, pp 450–490

    Google Scholar 

  • Lommatzsch Pk (1976) Beta-ray treatment of malignant epithelial tumors of the conjunctiva. Amer J Ophthal 81:198–206

    Google Scholar 

  • Lopez Cardozo P, Oosterhuis JA and de Wolff-Rouendaal D (1981) Exfoliation cytology in the diagnosis of conjunctival tumours. Ophthalmologica 182:157–164

    Google Scholar 

  • Miller E (1971) The metabolishm and pharmacology of 5 fluorouracil. J Surg Oncol 3:309–315

    Google Scholar 

  • Naumann GOH and Apple DJ (1980) Pathologie des Augen. Epitheliale Tumoren. Heidelberg, Springer, pp 278–288

    Google Scholar 

  • Ouwejan GJ, de Keizer RJW and de Wolff-Rouendaal D (1986). A patient with actinic keratosis of skin and conjunctiva treated by 5 fluorourcil (in preparation)

  • Pizzarello LD and Jakobiec FA (1978) Bowen's disease of the conjunctiva: a misnomer. In: Ocular and Adnexal Tumors, Jakobiec FA Birmingham, Aesculapius, pp 553–570

    Google Scholar 

  • Rootman J, Tisdall J, Gudauskas G and Ostry A (1979) Intraocular penetration of subconjunctival administered 14C fluorouracil in rabbits. Arch Ophthal 97:2375–2378

    Google Scholar 

  • Schlernitzauer Da and Font RL (1976) Sebaceous gland carcinoma of the eyelid following radiation therapy for cavernous hemangioma of the face. Arch Ophthal 94:1523–1525

    Google Scholar 

  • Shapiro MS, Thoft RA, Friend J, Parrish RK and Gressel MG (1985) 5-fluorouracil toxicity of the ocular surface epithelium. Invest Ophthal Vis Sci 26:580–583

    Google Scholar 

  • Stern WH, Guerin CJ, Erickson PA, Lewis P, Anderson DH and Fisher SK (1983) Ocular toxicity of fluorourcil after vitrectomy. Amer J Ophthal 96:43–51

    Google Scholar 

  • de Wolff-Rouendaal D (1985) Management of conjunctival tumours. In: Ophthalmic Tumours, Oosterhuis JA Dordrecht, Junk, pp 159–171

    Google Scholar 

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De Keizer, R.J.W., De Wolff-Rouendaal, D. & Van Delft, J.L. Topical application of 5-Fluorouracil in premalignant lesions of cornea, conjunctiva and eyelid. Doc Ophthalmol 64, 31–42 (1986). https://doi.org/10.1007/BF00166683

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