Fig. 1. Surgical excision of conjunctival malignancy using the “no-touch” technique. A. Absolute alcohol is applied by a cotton tip applicator to the involved cornea to allow for controlled corneal epitheliectomy. B. The corneal epithelium is scrolled off using a controlled sweeping motion with a Beaver blade. C. The conjunctival incision is made approximately 4 mm outside the tumor margin. A Beaver blade is used to create a thin lamella of tumor-free sclera underlying the limbal portion of the tumor. D. The conjunctival malignancy is removed, along with tumor-free margins, including underlying sclera and limbal corneal epithelium. E. Cryotherapy is applied to the conjunctiva at the site of resection. F. Closure of the conjunctiva with absorbable sutures is performed. |