Squamous cell carcinoma with necrotizing scleritis.
OBJECTIVE
To report on a case of limbal squamous cell carcinoma (SCC) with necrotizing scleritis in a young, previously healthy, white Australian male.


METHODS
A 31-year-old man presented with a left limbal lesion intermittently causing a red eye and foreign body sensation. He had enjoyed surfing for many years. Repeat HIV tests were negative and the lesion was biopsied.


RESULTS
Biopsy showed a well-differentiated SCC apparently arising in an intra-epithelial (in situ) carcinoma of the conjunctiva. The lesion was excised and a corneoscleral graft repair was performed.


CONCLUSIONS
The present case highlights the potential for a significant increase in the prevalence of ocular surface neoplasia in healthy young people who have had excessive UV-B exposure.
Younan
N
N
Department of Ophthalmology, University of Sydney, New South Wales, Australia.
McClellan
K
K
D000328:Adult; D002278:Carcinoma in Situ / Q000150:complications / Q000209:etiology / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000150:complications* / Q000209:etiology / Q000601:surgery; D016039:Corneal Transplantation; D005134:Eye Neoplasms / Q000150:complications* / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000150:complications / Q000209:etiology / Q000601:surgery; D012590:Sclera / Q000637:transplantation; D015423:Scleritis / Q000209:etiology*; D013472:Sunlight / Q000009:adverse effects