Masquerade syndrome in ocular surface squamous neoplasia

ABSTRACT The aim of this study was to alert the ophthalmic community to an atypical manifestation of ocular surface squamous neoplasia, which may delay diagnosis and treatment and result in a guarded visual prognosis and significant sequelae. A 61-year-old immunocompetent man presented with an initial diagnosis of necrotizing scleritis in the right eye for 3 months. He was treated with systemic prednisone but experienced persistent pain and low visual acuity. Conjunctival biopsy of the affected region confirmed the diagnosis of invasive ocular surface squamous neoplasia, which progressed with intraocular and orbital invasion; thus, exenteration was performed. Masquerade syndrome should be suspected in patients with nodulo-ulcerative lesions of the conjunctiva and sclera. This clinical can be more aggressive, with a greater likelihood of intraocular and orbital involvement. The earlier the diagnosis and treatment, the better the patient prognosis.

Bibliographic Details

Main Authors:	Oliveira Cechim,Raysa Victoria de, Santos,Laura Caldas dos, Santoro,Dalton de Freitas, Vieira,Luiz Antônio, Sousa,Luciene Barbosa de, Freitas,Denise de
Format:	Digital revista
Language:	English
Published:	Conselho Brasileiro de Oftalmologia 2022
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492022005004210
Tags:	Add Tag No Tags, Be the first to tag this record!