AIM To retrospectively study 26 patients with squamous cell carcinoma (SCC) of the ocular surface to determine pathological and clinical characteristics of tumour associated with outcome. METHODS Patients with conjunctival SCC from St Vincent's Hospital and the private ophthalmology practices of the authors were reviewed. RESULTS Patents were usually male (77%), elderly (69% > 60 years of a...

CASE REPORT A 67 year-old male seen for a longstanding corneal-conjunctival tumor. TREATMENT topical interferon α2b (IFN-α2b) 10 U/ml. A significant increase in lesion size was observed after 8 weeks. A surgical excision with cryotherapy was then performed. Pathological examination confirmed the diagnosis of squamous cell carcinoma. At this time the patient was found to have a positive HIV se...

BACKGROUND This study reports two cases of conjunctival granuloma with necrosis caused by an exposed suture in the upper palpebral conjunctiva masquerading as ocular surface squamous neoplasia. CASE PRESENTATION Two patients presented with chronic conjunctival ulcerative and granulomatous lesions on the superior bulbar conjunctiva that repeatedly recurred after the mass was removed. The patho...

Diagnosis Step 1. Taking a detailed history How long has the growth been present? Typically, this would be for many months or years. This helps to differentiate it from ocular surface squamous neoplasia (OSSN), which tends to have a shorter history (see pages 52–53). Ask the patient if it has been getting bigger. Some pterygia are inactive and have not grown for decades. What symptoms is the pa...