Topical 5-Fluorouracil 0.5% as primary treatment for Ocular Surface Squamous Neoplasia
2024

Topical 5-Fluorouracil 0.5% for Ocular Surface Squamous Neoplasia

Sample size: 30 publication Evidence: moderate

Author Information

Author(s): Teixeira Gabriela Carneiro, de Resende Mateus Inacio Lemes, Morales Melina Correia, Fernandes Arthur Gustavo

Primary Institution: Federal University of São Paulo

Hypothesis

Is topical treatment with 5-Fluorouracil 0.5% effective for Ocular Surface Squamous Neoplasia?

Conclusion

Topical 5-FU 0.5% is an effective treatment for OSSN, achieving an 80% success rate with good tolerability.

Supporting Evidence

  • 80% of patients achieved therapeutic success after treatment.
  • Lesion size affects treatment success, with larger lesions having lower odds of success.
  • Only mild adverse effects were reported, with no patients needing to stop treatment.

Takeaway

This study shows that a special eye drop can help treat a type of eye tumor in most patients without making them feel too bad.

Methodology

Patients with OSSN were treated with topical 5-FU 0.5% four times daily for 10 days, followed by a 3-week break, up to 3 cycles.

Potential Biases

Potential bias due to patient adherence assessment.

Limitations

Sample size is small, lacks a control group, and no long-term follow-up.

Participant Demographics

30 patients, 22 males and 8 females, mean age 69.08 years.

Statistical Information

P-Value

0.033

Confidence Interval

95% CI: 60.75–91.18%

Statistical Significance

p=0.033

Digital Object Identifier (DOI)

10.1177/11206721241256687

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