DR. ARCHANA GULATI

Dr.Rishi M Mehta

Abstract

Background:OSSN encompasses conjunctival intraepithelial neoplastic lesions (CIN) and invasive squamous cell carcinoma (SCC) of conjunctiva and cornea.

Case Details:70 year old female working as farmer presented with chief complaint of a mass in the interpalpebral area of the right eye nasally since 1 year. The mass was single, sessile, amelanotic, fixed and non-friable. The mass measured 1*0.8*0.6cms, covered the conjunctiva, grew beyond the limbus and was encroaching the cornea with feeder vessels. The mass was excised in toto after discerning a suitable plane. Cryotherapy was done around the excised tissue. Amniotic membrane graft was placed with fibrin glue

Biopsy:Dysplastic squamous epithelium extending into the stroma with pushing margins confirms SCC.

Conclusion:Histopathology is the gold standard for OSSN, reflecting its prognosis. Excision with cryotherapy and amniotic membrane transplantation gives excellent results with localised lesions. A regular follow up is mandatory.