Cost-effective treatment of ocular surface squamous neoplasia for an undocumented and uninsured New York City patient: a case report
Abstract Background New York City has a heterogeneous population with many undocumented and uninsured immigrants from equatorial areas who have a higher incidence of ocular surface squamous neoplasia. To the best of our knowledge, this is the first documented selection of this cost-effective treatme...
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| Format: | Article |
| Language: | English |
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BMC
2020-10-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13256-020-02510-w |
| _version_ | 1831665673954131968 |
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| author | Norman A. Saffra Trisha S. Emborgo Codrin E. Iacob David S. Kirsch |
| author_facet | Norman A. Saffra Trisha S. Emborgo Codrin E. Iacob David S. Kirsch |
| author_sort | Norman A. Saffra |
| collection | DOAJ |
| description | Abstract Background New York City has a heterogeneous population with many undocumented and uninsured immigrants from equatorial areas who have a higher incidence of ocular surface squamous neoplasia. To the best of our knowledge, this is the first documented selection of this cost-effective treatment of ocular surface squamous neoplasia (the use of absolute ethanol along the corneal margin, primary excision, double freeze-thaw cryopexy, and primary conjunctival closure) for an undocumented and uninsured New York City patient. Case presentation A 35-year-old man from Ecuador presented to a New York City emergency department due to worsening discomfort of a long-standing left eye pterygium. A slit-lamp examination of the left eye demonstrated a nasally located conjunctival mass measuring 6 × 8 mm extending onto the cornea (3 mm superiorly and 6 mm inferiorly on the cornea). Histological diagnosis confirmed squamous cell carcinoma in situ arising from the pterygium. Surgical excision with adjunctive absolute alcohol with additive double freeze-thaw cryopexy was performed. Our patient has remained free of tumor recurrence at year 2 postoperative visit. Conclusions Our case highlights the need to choose a cost-effective treatment for ocular surface squamous neoplasia in an at-risk population among undocumented and uninsured patients. Areas in the world with similar types of populations or treatment challenges may need to consider this approach as a primary treatment option. |
| first_indexed | 2024-12-19T19:38:44Z |
| format | Article |
| id | doaj.art-b65124161ee6435b90672ecdbe2afd3a |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-19T19:38:44Z |
| publishDate | 2020-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-b65124161ee6435b90672ecdbe2afd3a2022-12-21T20:08:18ZengBMCJournal of Medical Case Reports1752-19472020-10-011411710.1186/s13256-020-02510-wCost-effective treatment of ocular surface squamous neoplasia for an undocumented and uninsured New York City patient: a case reportNorman A. Saffra0Trisha S. Emborgo1Codrin E. Iacob2David S. Kirsch3Department of Ophthalmology, St. John’s Episcopal HospitalDepartment of Ophthalmology, St. John’s Episcopal HospitalDepartment of Pathology, New York Eye and Ear Infirmary of Mount SinaiDepartment of Ophthalmology, St. John’s Episcopal HospitalAbstract Background New York City has a heterogeneous population with many undocumented and uninsured immigrants from equatorial areas who have a higher incidence of ocular surface squamous neoplasia. To the best of our knowledge, this is the first documented selection of this cost-effective treatment of ocular surface squamous neoplasia (the use of absolute ethanol along the corneal margin, primary excision, double freeze-thaw cryopexy, and primary conjunctival closure) for an undocumented and uninsured New York City patient. Case presentation A 35-year-old man from Ecuador presented to a New York City emergency department due to worsening discomfort of a long-standing left eye pterygium. A slit-lamp examination of the left eye demonstrated a nasally located conjunctival mass measuring 6 × 8 mm extending onto the cornea (3 mm superiorly and 6 mm inferiorly on the cornea). Histological diagnosis confirmed squamous cell carcinoma in situ arising from the pterygium. Surgical excision with adjunctive absolute alcohol with additive double freeze-thaw cryopexy was performed. Our patient has remained free of tumor recurrence at year 2 postoperative visit. Conclusions Our case highlights the need to choose a cost-effective treatment for ocular surface squamous neoplasia in an at-risk population among undocumented and uninsured patients. Areas in the world with similar types of populations or treatment challenges may need to consider this approach as a primary treatment option.http://link.springer.com/article/10.1186/s13256-020-02510-wOcular surface squamous neoplasiaUndocumentedUninsuredCost-effective treatmentCase report |
| spellingShingle | Norman A. Saffra Trisha S. Emborgo Codrin E. Iacob David S. Kirsch Cost-effective treatment of ocular surface squamous neoplasia for an undocumented and uninsured New York City patient: a case report Journal of Medical Case Reports Ocular surface squamous neoplasia Undocumented Uninsured Cost-effective treatment Case report |
| title | Cost-effective treatment of ocular surface squamous neoplasia for an undocumented and uninsured New York City patient: a case report |
| title_full | Cost-effective treatment of ocular surface squamous neoplasia for an undocumented and uninsured New York City patient: a case report |
| title_fullStr | Cost-effective treatment of ocular surface squamous neoplasia for an undocumented and uninsured New York City patient: a case report |
| title_full_unstemmed | Cost-effective treatment of ocular surface squamous neoplasia for an undocumented and uninsured New York City patient: a case report |
| title_short | Cost-effective treatment of ocular surface squamous neoplasia for an undocumented and uninsured New York City patient: a case report |
| title_sort | cost effective treatment of ocular surface squamous neoplasia for an undocumented and uninsured new york city patient a case report |
| topic | Ocular surface squamous neoplasia Undocumented Uninsured Cost-effective treatment Case report |
| url | http://link.springer.com/article/10.1186/s13256-020-02510-w |
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