title: Ocular surface squamous neoplasia masquerading as superior limbic keratoconjunctivitis.
abstract: To report a case of ocular surface squamous neoplasia (OSSN) masquerading as superior limbic keratoconjunctivitis (SLK). A 62-year-old woman was referred with foreign body sensation, irritation, photophobia and decreased vision in the left eye. She was initially treated for 10 months with intermittent topical corticosteroids for a presumed diagnosis of SLK. She underwent excisional biopsy of the superior conjunctiva and was found, on histopathologic evaluation, to have OSSN with moderate to marked dysplasia. This is the first reported case of OSSN masquerading with signs and symptoms of SLK. Any ocular surface lesion refractory to standard medical treatment should raise suspicion for a malignant process and warrant further cytologic or histopathologic evaluation.
authors.affiliation: Department of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah, Salt Lake City, UT, USA.
authors.forename: Majid
authors.initials: M
authors.lastname: Moshirfar
authors.forename: Yousuf M
authors.initials: YM
authors.lastname: Khalifa
authors.forename: Annie
authors.initials: A
authors.lastname: Kuo
authors.forename: Don
authors.initials: D
authors.lastname: Davis
authors.forename: Nick
authors.initials: N
authors.lastname: Mamalis