Ocular Surface Squamous Neoplasia: Monotherapy with Mitomycin C

Ocular Surface Squamous Neoplasia (OSSN) is a neoplasm of ocular surface present in the interpalpebral area having feeder vessel. It is more common in middle age group and present as a mass lesion or chronic ocular irritation. Treatment is chemo reduction, surgical excision, cryotherapy and excision with adjuvant chemotherapy. There is high rate of recurrence in OSSN. Here, a case of 79-year-old female patient with painless mass over conjunctiva and cornea was presented. The mass was whitish, shiny and placoid extending from 9 o'clock to 5 o'clock position covering half of the corneal surface with feeder vessel. Gelatinous or leucoplakic OSSN was managed with chemoreduction and monotherapy with mitomycin C. No recurrence was reported during more than 2 years follow-up at the peripheral health institution.