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The article by McKelvie et al1 is especially noteworthy as it highlights a number of interesting observations.
In the first instance, the authors highlight that conjunctival squamous cell carcinoma (SCC) is not as uncommon worldwide as reported earlier.2
Recurrence of ocular surface squamous neoplasia (OSSN) is common, with significantly increased risk for older patients, large size, high proliferation index (Ki-67 score), and positive surgical margins (total recurrence being 27%). For control of local disease, exenteration may be the answer. The larger the diameter of the mass, the more accurate is the clinical diagnosis. A high proliferation index increases the predictability of recurrences and serial impression cytology is an extremely useful tool for early …