[Complications of palpebral epitheliomas: diagnostic, therapeutic, and prognostic implications].

PURPOSE: To illustrate two cases of palpebral tumors that determined local complications, with consequences on the preoperative diagnosis and the surgical treatment (case 1) and on the functional prognosis of the eye (case 2).

METHOD: The history and evolution of the cases, the surgical techniques, the histopathological reports and the anatomical and functional results are described and analyzed.

RESULTS

In case 1, the extension of the tumor led to a considerable tissular defect that claimed for a long and hard surgery for the anatomical and functional repair of the region. In case 2, the vegetant evolution of the tumor determined the irritation of the cornea and consecutive corneal ulcer that perforated, with the functional loss of the eye.

CONCLUSIONS

The two cases are revealing aspects that are less frequent in the ophthalmic practice. They signalize, besides the deffisient adresability of the patient, the problem of the "territorial dispute" over the palpebral surgery between different specialties.