The masquerading squamous cell carcinoma

This 36year-old male patient presented to us with pain & redness in right eye (OD) since last 2months and decreased vision since childhood attributed to injury with stone. Best corrected visual acuity (BCVA) in OD was counting fingers @3mt & in left eye (OS) 20/60. Slit lamp examination revealed conjunctival congestion in OD along with tissue growth over corneal surface, pigments on corneal endothelium, quiet anterior chamber (AC), with clear lens. The growth had limbal fixity and was extending from 7 to 10 clock hours over lateral aspect of cornea without any prominent vasculature. Fundus examination showed para-foveal scarring. OS was unremarkable. Intra ocular pressure was 20 & 18mmHg respectively. Diagnosis of OD pterygium was made and patient underwent pterygium excision with conjunctival autograft. Histopathology was inconclusive. Postoperatively patient was on antibiotics, steroids and lubricants for period of 6weeks and doing well. Patient re-presented to us, 3months post surgery when he noticed an abnormal growth on temporal side of cornea.