Management and Treatment of Ocular Surface Neoplasia.

Conjunctival squamous cell carcinoma (CSCC) is an invasive ocular surface neoplasia ranging from dysplasia to carcinoma in situ to invasive squamous cell carcinoma, which is identifi ed as premalignant and malignant epithelial lesions. Often, it is seen in males in tropical countries lying close to the equator where there is excessive exposure to sunlight. Clinical diagnosis requires close examination with a degree of high suspicion. Appropriate and defi nitive diagnosis of conjunctival squamous neoplasia by ocular pathologists and the need for future detailed clinicopathologic studies is recommended. Appropriate and defi nitive diagnosis requires histopathology. We describe a case of CSCC underlying dysplasia with intraepithelial squamous cell neoplasia, where the case was confi rmed by histopathological examination. Th e treatment modality involving surgery and medication and follow-up is described. Th ere was no evidence of recurrence, complication, or metastasis.

Dry Eye in a Pediatric Patient with Crohn’s Disease: A Rare Case Report.

Dry eye is uncommon in pediatric age group, it can easily be missed. Th e dry eye can manifest in several systemic childhood conditions and can be the initial warning sign that a major problem is brewing. A 10-fold increase in dry eye symptoms with systemic diseases has been reported, such as juvenile arthritis and Type 1 diabetes. Other childhood conditions like Sjogren syndrome has been identifi ed in children as young as 5 years of age and is believed to be underdiagnosed. Careful systemic evaluation is an important part of the history that widens the diff erential diagnosis in order not to miss any potential cause, which helps the physician in caring of the patient as a whole. I report a case of severe dry eye as a leading presentation in a female pediatric patient who had Crohn’s disease.