Post-traumatic Corneal Ocular Surface Squamous Neoplasia: A Case Report

Bibliographic Details
Title: Post-traumatic Corneal Ocular Surface Squamous Neoplasia: A Case Report
Authors: Keerti Wali, Nikita Sankolli, Savitri Nerune
Source: TNOA Journal of Ophthalmic Science and Research, Vol 62, Iss 4, Pp 482-484 (2024)
Publisher Information: Wolters Kluwer Medknow Publications, 2024.
Publication Year: 2024
Collection: LCC:Ophthalmology
Subject Terms: adherent leucoma, anterior segment optical coherence tomography, corneal tear, interferon alfa 2b, ocular surface squamous neoplasia, Ophthalmology, RE1-994
More Details: We report a rare presentation of limbus-sparing ocular surface squamous neoplasia (OSSN) over post-traumatic adherent leucoma. A 32-year-old healthy male presented with a pedunculated fleshy corneal mass overlying an adherent leucoma secondary to self-healed full-thickness corneal laceration, with an adjacent pinguecula separated by a clear normal limbus. AS-OCT confirmed the separation of corneal epithelial mass from underlying iris tissue by thinned scarred corneal stroma. An excisional biopsy with 2mm conjunctival margins and a limbal conjunctival autograft was performed. A feeder vessel was observed at the base of the corneal lesion. Histopathological evaluation showed moderately differentiated squamous cell carcinoma. Adjuvant Interferon alfa 2b chemotherapy for three months ensured complete clearance with no recurrence at follow-up. This case highlights the traumatic etiology of OSSN development without limbal involvement. Immediate corneal tear repair may have prevented its occurrence and the need for long-term chemotherapy.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2589-4528
2589-4536
Relation: https://journals.lww.com/10.4103/tjosr.tjosr_114_24; https://doaj.org/toc/2589-4528; https://doaj.org/toc/2589-4536
DOI: 10.4103/tjosr.tjosr_114_24
Access URL: https://doaj.org/article/c3c5c3bf995d4b1a92ddfe84ca76477a
Accession Number: edsdoj.3c5c3bf995d4b1a92ddfe84ca76477a
Database: Directory of Open Access Journals
More Details
ISSN:25894528
25894536
DOI:10.4103/tjosr.tjosr_114_24
Published in:TNOA Journal of Ophthalmic Science and Research
Language:English