Ocular Surface Squamous Neoplasia Masquerading as Superior Limbic Keratoconjunctivitis
Author Information
Author(s): Moshirfar Majid, Khalifa Yousuf M. Kuo, Annie Davis, Don Mamalis, Nick
Primary Institution: John A. Moran Eye Center, University of Utah
Hypothesis
Can ocular surface squamous neoplasia (OSSN) present with symptoms similar to superior limbic keratoconjunctivitis (SLK)?
Conclusion
The case highlights that OSSN can mimic SLK, and any ocular surface lesion that does not respond to standard treatment should be evaluated for malignancy.
Supporting Evidence
- The patient was initially treated for SLK for 10 months without improvement.
- Histopathologic evaluation revealed OSSN with moderate to marked dysplasia.
- This is the first reported case of OSSN masquerading as SLK.
Takeaway
A woman thought she had a common eye problem actually had a serious condition that looked similar, showing that doctors need to check for more serious issues when treatments don't work.
Methodology
The patient underwent an excisional biopsy of the conjunctiva, and histopathologic evaluation confirmed the diagnosis.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
A 62-year-old woman with a history of hypothyroidism.
Digital Object Identifier (DOI)
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