Ocular surface squamous neoplasia masquerading as superior limbic keratoconjunctivitis

To report a case of ocular surface squamous neoplasia (OSSN) masquerading as superior limbic keratoconjunctivitis (SLK). A 62-year-old woman was referred with foreign body sensation, irritation, photophobia and decreased vision in the left eye. She was initially treated for 10 months with intermitte...

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Bibliographic Details
Published in:Middle East African journal of ophthalmology 2011-01, Vol.18 (1), p.74-76
Main Authors: Moshirfar, Majid, Khalifa, Yousuf M, Kuo, Annie, Davis, Don, Mamalis, Nick
Format: Article
Language:English
Subjects:
Case Report
Case studies
Conjunctivitis
Corticosteroids
Diagnosis
Drug therapy
Family medical history
Health aspects
Hypothyroidism
Medical diagnosis
Patient outcomes
Risk factors
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Summary:To report a case of ocular surface squamous neoplasia (OSSN) masquerading as superior limbic keratoconjunctivitis (SLK). A 62-year-old woman was referred with foreign body sensation, irritation, photophobia and decreased vision in the left eye. She was initially treated for 10 months with intermittent topical corticosteroids for a presumed diagnosis of SLK. She underwent excisional biopsy of the superior conjunctiva and was found, on histopathologic evaluation, to have OSSN with moderate to marked dysplasia. This is the first reported case of OSSN masquerading with signs and symptoms of SLK. Any ocular surface lesion refractory to standard medical treatment should raise suspicion for a malignant process and warrant further cytologic or histopathologic evaluation.
ISSN:0974-9233
0975-1599
0975-1599
0974-9233
DOI:10.4103/0974-9233.75895