Avinash Mishra, Ruchi Kabra, Maj AW Kashif and Bhaskar Srinivasan
Ocular surface squamous neoplasia (OSSN) is the most common ocular surface tumor in adults, the diagnosis of which rests on the histopathological examination of the excised lesion. It has a varied clinical presentation and can be confused with, pterygium, pingueculitis, conjunctival keratosis, or chronic atypical conjunctivitis. Though a slow growing tumour that rarely metastasises, however it has the capacity to cause extensive local tissue destruction.