Access to intraoperative tumour margin control: a survey of the British Oculoplastic Surgery Society

Eye volume 34, pages1679–1684(2020)Cite this article

Subjects

Abstract

Background

Periocular malignancy is common and in most cases will undergo excision with pre-determined margins and subsequent histological examination. Intraoperative margin control (IOMC) modalities such as fast frozen section (FFS), fast paraffin (FP) and Mohs micrographic surgery (MMS) are being increasingly widely used, though there is a lack of information regarding utility. The aim of this study was to survey members of the British Oculoplastic Surgery Society (BOPSS) to determine attitudes and access to different modalities of IOMC.

Methods

A 12-question online survey was disseminated via an e-mail to full members of the BOPSS. The survey was hosted using Qualtrics software via the University of Sussex.

Results

The overall response rate was 64 of 165 (38.8%). MMS was readily available in a neighbouring trust to 23 of 64 respondents (35.9%). Seven respondents (10.9%) reported no regional access to MMS. Twenty-nine members had readily available access to FFS (45.3%) and 37 of 64 to FP (57.8%) in their own institution. There is variation in what tumour types would be considered appropriate for IOMC, though most thought clinically ill-defined (morphoeic) basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) should undergo one form of IOMC (90.6% and 81.3%, respectively).

Conclusion

This study highlights variation in availability and utilisation of IOMC amongst oculoplastic surgeons and in different regions of the UK. While the exact place of IOMC in periocular tumour excision is debated, there is a consistent view that it should be available for some tumours. Greater consistency in provision may improve patient outcomes.

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Affiliations

  1. Sussex Eye Hospital, Brighton and Sussex University Hospitals NHS Trust, Eastern Road, Brighton, BN2 5BF, UK

    Huw Oliphant & Saul Rajak

  2. Brighton and Sussex Medical School, Falmer, BN1 9PX, UK

    Huw Oliphant & Saul Rajak

  3. Department of Dermatology, Royal Victoria Infirmary, Queen Victoria Road, Newcastle Upon Tyne, NE1 4LP, UK

    Tom Oliphant

  4. Newcastle Eye Centre, Royal Victoria Infirmary, Queen Victoria Road, Newcastle Upon Tyne, NE1 4LP, UK

    Lucy Clarke

  5. Hull & East Yorkshire Eye Hospital, Fountain Street, HU3 2JZ, Kingston Upon Hull, UK

    Colin Vize

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  1. Huw Oliphant
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  2. Tom Oliphant
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  4. Colin Vize
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Correspondence to Huw Oliphant.

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Oliphant, H., Oliphant, T., Clarke, L. et al. Access to intraoperative tumour margin control: a survey of the British Oculoplastic Surgery Society. Eye 34, 1679–1684 (2020). https://doi.org/10.1038/s41433-019-0760-0

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