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Oral Mucosa Graft in Palpebral Conjunctiva Malignant Melanoma

Putu Yuliawati , Anak Agung Ayu Sukartini Djelantik, Ni Made Ayu Trisnadewi

Putu Yuliawati
Ophthalmology Department, Medical Faculty, Universitas Udayana, Sanglah Hospital, Denpasar. Email: yuliawati18767@yahoo.com

Anak Agung Ayu Sukartini Djelantik
Ophthalmology Department, Medical Faculty, Universitas Udayana, Sanglah Hospital, Denpasar

Ni Made Ayu Trisnadewi
Ophthalmology Department, Medical Faculty, Universitas Udayana, Sanglah Hospital, Denpasar
Online First: March 26, 2019 | Cite this Article
Yuliawati, P., Djelantik, A., Trisnadewi, N. 2019. Oral Mucosa Graft in Palpebral Conjunctiva Malignant Melanoma. Bali Journal of Ophthalmology 3(1). DOI:10.15562/bjo.v3i1.45


Introduction : Conjunctiva malignant melanoma is a rare but potentially fatal ocular surface tumor, easy to bleed because of increased vascularization. Mucous membrane transplants have been used for a century in the reconstruction posterior lamella conjunctiva palpebra tissue and give good result combine with amnion membrane transplantation.

Case description : A 65 years old male complained of ocular discomfort and a black pigmented mass over conjunctiva of right eye and easy to bleeding. The patient noticed the black pigmented mass since 2 months. The mass was initially small and gradually increase in size. The histopathology examination show melanoma maligna palpebral conjunctiva.Wide surgical excision with cryotherapy and oral mucosa and amniotic membrane graft done to this patient.

Discussion : Oral mucosal and amniotic membrane replace posterior lamella inferior palpebra grafting grow well and give good cosmetic in post wide excision melanoma maligna palpebral conjunctiva patient. A broad variety of techniques, materials and grafts have been used to replace ocular surface tissue. These combinations technic are suitable procedure for the replacement of the posterior lamella conjunctiva palpebral inferior in the treatment of conjunctival malignant melanoma.

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