Treatment challenges associated with a superiorly located bulbar conjunctival mass—case report and review of the literature

Abstract

Purpose: This report describes a recurrent case of ocular surface squamous neoplasia in a middle-aged and immunocompetent patient. Observations: The summary of clinical presentation, workup, and medical and surgical intervention are described, followed by a brief overview of the treatment challenges associated with superiorly located conjunctival lesions. Conclusions: In cases where topical chemotherapeutic drops cannot penetrate the lesion, the location of conjunctival lesions can sometimes pose a challenge. Hence, injections in such cases might be preferred. However, histopathology still plays a significant role in achieving a definitive diagnosis.

Keywords

• Ocular surface squamous neoplasia
• Ocular oncology
• Chemotherapeutic agents
• Excisional biopsy