ABSTRACT
Ocular surface squamous neoplasia presents as a spectrum from simple dysplasia to carcinoma in situ to invasive squamous cell carcinoma (SCC) involving the conjunctiva as well as the cornea. SCCs are commonly seen in eye at the transitional zone of epithelium-the limbus and eyelid margin and usually seen in elderly patients or in young human immunodeficiency virus (HIV) positive patients. Limbal lesion spreads over the ocular surface and enters the fornices but rarely penetrates the globe. Wide total excision serves both therapeutic and diagnostic purpose. We report a rare case of 32 years old, non-HIV male patient who presented with complaints of painless, progressive mass in the right eye with mild visual blurring since 2 months. Slit lamp examination suggested the clinical diagnosis of limbal carcinoma for which a total excisional biopsy with fibrin glued conjunctival autograft was performed. Postoperatively with the confirmed diagnosis of SCC from histopathology, mitomycin - C 0.02% eye drops were prescribed for 4 weeks along with steroid- antibiotic combination in a tapering dose. Postoperatively no recurrence was seen, and good cosmetic improvement was noted.