A Striking Image of Ocular Surface Squamous Neoplasia! Article Swipe
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· 2024
· Open Access
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· DOI: https://doi.org/10.4103/tjosr.tjosr_36_24
· OA: W4400242140
A 72-year-old female presented with a history of gradually increasing mass in her right eye over the past 6 months. The vision in the right eye was 6/60. It was a gelatinous mass, with no surface keratin and extensive intrinsic vascularisation of size 11 × 12 mm, predominantly in the superonasal quadrant [Figures 1a and 2a]. Corneal involvement was noted from 10 o`clock to 3 o` clock position extending up to 4 mm on the cornea. No palpable lymph nodes were present. Chemo reduction followed by surgical excision biopsy was planned. A trial of treatment with topical 5-flourouracil was given. Following two cycles of treatment, no notable improvement was observed. Subsequently, topical interferon alpha-2b was given in the dose of 1 mU/mL and intralesional 3 mU/mL was also injected. After the first cycle, the patient showed significant improvement [Figure 1b]. Hence, two more cycles of chemotherapy were given, after which the patient showed complete resolution [Figures 1c and 2b].[1-5]Figure 1: Slit lamp photo showing OSSN (a) when the patient presented to us, (b) after the first cycle of treatment, (c) after the complete cycle of treatmentFigure 2: Anterior segment optical coherence tomography image showing the OSSN (a) when the patient presented to us and (b) after the complete cycle of treatmentDeclaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.
