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Author Spotlight: Anterior HR-OCT as a Non-Invasive Tool for Characterizing Ocular Surface Squamous Neoplasia
Published on: August 9, 2024
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Invasive Ocular Surface Squamous Neoplasia Masquerading as Nodular Scleritis
Medha Sharma1, Dheepak Sundar, Murugesan Vanathi
1Department of Ophthalmology, Dr. Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Ophthalmic Plastic and Reconstructive Surgery
|June 5, 2016
Summary
Ocular surface squamous neoplasia can mimic recurrent scleritis. Early detection and high suspicion are crucial for diagnosing this rare malignancy when conventional treatments fail.
Area of Science:
- Ophthalmology
- Oncology
Background:
- Ocular surface squamous neoplasia (OSSN) is a rare malignant proliferation of the cornea and conjunctiva.
- Recurrent anterior nodular scleritis can present with similar symptoms, potentially masking underlying malignancy.
Observation:
- A 35-year-old male presented with recurrent anterior nodular scleritis in his right eye.
- Initial treatment with a lamellar patch graft was followed by symptom recurrence within two months.
Findings:
- Histopathological examination confirmed well-differentiated squamous cell carcinoma.
- The case highlights an unusual presentation of OSSN masquerading as scleritis.
Implications:
- A high index of suspicion for malignancy is essential in cases of refractory or recurrent scleritis.
- Prompt diagnosis and appropriate management are critical for better patient outcomes in OSSN.
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