Atypical Ocular Surface Neoplasia and Fibroxanthoma in Cornea and Conjunctiva: A Case Report

associated with poor vision in his right eye.Symptoms increased 4 weeks prior to consultation.At presentation, visual acuity was 20/160 in the right eye and 20/30 in the left eye.Slit-lamp examination IntroductIonAtypical fibroxanthoma (AFX) is a rare, painless pleomorphic tumor of the skin (dermis) mainly in sun-exposed areas in elderly male between the 5 th and 7 th decade of life with informed few cases on the ocular surface.Identified risk factors are high ultraviolet exposure, trauma and scarring in the area of the tumor, exposure of radiation, immunosuppressive therapy and the history of other skin cancer 1,2 .These uncommon neoplasms belong to the group of fibrohistiocytic tumor; therefore, the definitive diagnosis is based on histopathology with the aid of immunohistochemical analysis 2 .We herein report our clinical and histopathological findings of an ocular surface squamous neoplasia (OSSN) and AFX in both cornea and conjunctiva. case reportA 72-year-old man with medical history of diabetes mellitus, primary hypertension and prostate cancer treated with oral flutamide who was attended for an eight-month history of foreign body sensation 1-