A case of recurrent squamous cell carcinoma of the conjunctiva is presented here. A 13-years-old male Tibetan patient known to have recurrent conjunctival squamous papilloma as well as dysplasia of the left eye for 2 years was eventually diagnosed with conjunctival squamous cell carcinoma. The malignant tumor did not relapse after 3 surgeries and 6 months of follow-up. Conjunctival squamous cell carcinoma is secondary to conjunctival squamous cell papilloma, which is a common disease in areas exposed to strong ultraviolet radiation (UV). This case demonstrates that chronic UV exposure is a major risk factor for conjunctival squamous cell carcinoma that any ocular surface lesion should be carefully evaluated and treated, and that close follow-up reduces the risk of recurrence.
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