Lamellar keratoplasty followed by cataract extraction in malignant papilloma of the limbus.

THE treatment of epibulbar growths depends on several factors of which the extent of involvement of the globe itself is the most important; to some extent the line of treatmentadopted depends not only on the preference ofaparticular surgeon but also on the facilities available. Lamellar keratoplasty has often been employed as a therapeutic measure and we have had some experience of it (Sivasubramaniam and Hoole, 1952). The idea of keratoplasty in new growths of the cornea is not new, for Lister (1951) has reported a case of corneo-scleral grafting in malignant melanoma invading the cornea. The following case illustrates the surgical and technical principles involved in the line of treatment adopted.