To study the clinical course and management of recurrent OSSN in HIV positive patient in Eastern Uttar Pradesh

Abstract

We present a case of recurrent OSSN in HIV positive individual and its successful management. Patient presented to us with slow growing painless greyish mass in temporal area in interpalpebral region. He was diagnosed with HIV 2 years back and was on HAART regimen. He underwent excision for a similar looking mass in same eye 2 years back at the same time he was diagnosed with HIV. On local examination, a greyish white raised nodular gelatinous mass with feeder vessel was seen. It did not involve cornea and took up staining with rose bengal stain. complete excision biopsy using no-touch technique with a margin clearance of 4 mm followed by mitomycin-C and the remaining conjunctival defect closed with amniotic membrane graft was done. Histopathology confirmed OSSN. No recurrence was seen at 2-year follow-up. HIV shows a strong relation with OSSN and also with recurrent disease. Histopathology should always be done in interpalpebral mass excision in HIV positive patients as the recurrence rate is higher with more aggressive tumour.