A 61-YEAR-OLD Hispanic woman was referred for evaluation and treatment
of an intraocular tumor in her left eye. Sixteen months earlier, a reportedly
benign nasal limbal lesion was resected from this eye in Mexico. The left
eye revealed a diffuse, white, and friable nasal conjunctival tumor extending
into the anterior chamber (Figure 1).
Excisional biopsy revealed a squamous cell carcinoma. A computed tomography
scan showed that the tumor invaded the anterior nasal orbit. The left orbit
was exenterated, and pathological examination revealed a well-differentiated
squamous cell carcinoma of the conjunctiva invading the corneal stroma, anterior
chamber angle, iris, and ciliary body (Figure
2 and Figure 3).
Zamir E, Smith RE, See RF, Yiu SC, Burnstine M, Rao NA. Squamous Cell Carcinoma of the Limbus Extending Into the Anterior Segment. Arch Ophthalmol. 2002;120(8):1106-1107. doi:10.1001/archopht.120.8.1106