Abstract
Purpose To describe a case series of ocular surface squamous neoplasia (OSSN) in the pediatric population in Nepal. Design Retrospective case series. Methods Descriptive case series at a single tertiary eye care center in Nepal where children with histopathologically-proven OSSN were identified and their disease was characterized. Results OSSN was observed in 16 eyes of 16 pediatric patients (6-18 years old) with no identifiable risk factors. All patients were seen at Tilganga Institute of Ophthalmology, Kathmandu, Nepal, between May 2018 and June 2022. All lesions were histopathologically proven as OSSN and characterized by type. 9 (56%) were conjunctival intraepithelial neoplasia (CIN) I, 5 (31%) were CIN II, 2 (13%) were CIN III. There were no cases of squamous cell carcinoma. None of the patients had xeroderma pigmentosum, HIV, or Hepatitis B or C. Conclusions This work reports a case series of pediatric OSSN in the absence of risk factors and systemic conditions. More than half of the patients had mild CIN. Though rare, this case series highlights the importance of considering OSSN in the differential diagnosis of pediatric ocular surface lesions, perhaps especially in this geographic location.