Squamous cell carcinoma with necrotizing scleritis

Purpose: To report on a case of limbal squamous cell carcinoma (SCC) with n ecrotizing scleritis in a young, previously healthy, white Australian male. Methods: A 31-year-old man presented with a left limbal lesion intermittent ly causing a red eye and foreign body sensation. He had enjoyed surfing for many years. Repeat HIV tests were negative and the lesion was biopsied. Results: Biopsy showed a well-differentiated SCC apparently arising in an i ntra-epithelial (in situ) carcinoma of the conjunctiva The lesion was excis ed and a corneoscleral graft repair was performed. Conclusion: The present case highlights the potential for a significant inc rease in the prevalence of ocular surface neoplasia in healthy young people who have had excessive UV-B exposure.