DOI: 10.4103/ijo.ijo_1076_26 ISSN: 2772-3070
Ocular surface squamous neoplasia masquerading as necrotizing scleritis
Chandana Chakraborti, Sripurna Ghosh, Deesha Dutta, Manisha AgarwalOcular surface squamous neoplasia (OSSN) is the most commonly misdiagnosed ocular surface lesion. We report a unique case of a 65-year-old female patient, presenting with constant itching, localized redness, and watering for 1 year in LE. She had a recent onset gradually progressive painless blackish discoloration over the temporal quadrant of the LE for 1 month. It was initially misdiagnosed as necrotizing scleritis, but after excisional biopsy, the diagnosis of OSSN was confirmed. Thus, it is imperative on the part of the ophthalmologist to have a strong clinical suspicion in treatment of recalcitrant cases to rule out the possibility of OSSN.