Open AccessOcular surface squamous neoplasia masquerading as superior limbic keratoconjunctivitis
Author(s) -
Majid Moshirfar,
Yousuf M. Khalifa,
Annie Kuo,
Don Davis,
Nick Mamalis
Publication year - 2011
Publication title -
middle east african journal of ophthalmology (print)
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.357
H-Index - 25
eISSN - 0975-1599
pISSN - 0974-9233
DOI - 10.4103/0974-9233.75895
Subject(s) - medicine , keratoconjunctivitis , photophobia , dermatology , lesion , biopsy , dysplasia , surgery , pathology
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.