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- Title
Masquerade syndrome in ocular surface squamous neoplasia.
- Authors
de Oliveira Cechim, Raysa Victoria; Caldas dos Santos, Laura; de Freitas Santoro, Dalton; Antônio Vieira, Luiz; Barbosa de Sousa, Luciene; de Freitas, Denise
- 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.
- Subjects
SYMPTOMS; TUMORS; DELAYED diagnosis; PROGNOSIS; SYNDROMES; CHRONIC pain; OCULAR manifestations of general diseases
- Publication
Arquivos Brasileiros de Oftalmologia, 2023, Vol 86, Issue 3, p270
- ISSN
0004-2749
- Publication type
Case Study
- DOI
10.5935/0004-2749.20230027