Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London
(plain text version here)
Turf war for eyelid tumours? Plastic Surgery vs Ophthalmology services in a single trust
Author: Victoria Barnett
ePoster Number: 213,00
Purpose
To compare the pathway for treatment of eyelid tumours Plastic and Oculoplastic surgery
Methods
Retrospective review of electronic records of all patients with eyelid malignancy treatment in a single NHS trust from 2015 to 2019.
Results
139 patients had eyelid cancer excisions 102 patients were eligible for full inclusion. Plastic Pathway: 40 (39%) patients were treated by Plastics. 68% (27) were referred by GP, of which 74% (20) were via a 2WW pathway to dermatology then Plastic surgery for management. 55% (22) under Plastics received first definitive treatment (FDT) within 62 days of referral. 58% (23) underwent wide local excision (WLE), 20% (8) had margin control excision, 20% (8) had other non-margin controlled excision, and 3% (1) declined treatment.Oculoplastic Pathway: 58 (57%) patients were treated by Oculoplastics. 57% (13) of those referred directly to Oculoplastics received FDT within 62 days of referral. 41 (71%) underwent margin-controlled excision, 95% of whom had Mohs at a different trust and were referred to Oculoplastics for reconstruction following decision to treat by Dermatology. 10% (6) underwent WLE, 6% (4) had other non-margin controlled excision, 5% (3) were unknown, and 2% (1) declined treatment.
Conclusion
The two services for eyelid malignancies have similar referral to biopsy time. Plastic Surgery appear to have a preference for WLE and Oculoplastics controlled margin excision usually Mohs. Raising awareness in the community level locally and nationally should be recommended as a priority to promote our specialty’s expertise in periocular pathology management
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Ella | Kim | Western eye hospital, Imperial College Healthcare, London, UK |
| Justin | Weir | St Marys Hospital, Imperial College Healthcare, London, UK |
| Rajni | Jain | Western Eye Hospital, Imperial College Healthcare, London, UK |
| Vickie | Lee | Western Eye Hospital, Imperial College Healthcare, London, UK |
| Ahmad | Aziz | Western Eye Hospital, Imperial College Healthcare, London, UK |
Abstract ID: 20-118
