The critical role of primary care clinicians in the early detection of ocular surface squamous neoplasia
Ocular surface squamous neoplasia (OSSN) encompasses a spectrum of conjunctival tumours and, while rare globally, is the most common ocular malignancy in sub-Saharan Africa. Its rising incidence, primarily driven by the human immunodeficiency virus (HIV) epidemic, presents significant challenges in...
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2025-02-01
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Series: | South African Family Practice |
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Online Access: | https://safpj.co.za/index.php/safpj/article/view/6065 |
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author | Leendert Dekker Jan F. Olivier Klaus von Pressentin |
author_facet | Leendert Dekker Jan F. Olivier Klaus von Pressentin |
author_sort | Leendert Dekker |
collection | DOAJ |
description | Ocular surface squamous neoplasia (OSSN) encompasses a spectrum of conjunctival tumours and, while rare globally, is the most common ocular malignancy in sub-Saharan Africa. Its rising incidence, primarily driven by the human immunodeficiency virus (HIV) epidemic, presents significant challenges in clinical diagnosis, as these lesions often share characteristics with other conjunctival lesions. In South Africa, where risk factors such as HIV, human papillomavirus infection and excessive sun exposure are prevalent, primary care clinicians play a crucial role in identifying and referring cases for early intervention. Ocular surface squamous neoplasia is often the first indication of HIV in patients who are otherwise unaware of their status when they present to healthcare workers, making it essential for healthcare workers to screen for HIV and initiate antiretroviral therapy. Early recognition of at-risk patients and prompt referral of suspicious lesions are imperative to improve patient outcomes and prevent vision loss. |
format | Article |
id | doaj-art-b30c70616dc640d6afdcb7ea6f2964d1 |
institution | Kabale University |
issn | 2078-6190 2078-6204 |
language | English |
publishDate | 2025-02-01 |
publisher | AOSIS |
record_format | Article |
series | South African Family Practice |
spelling | doaj-art-b30c70616dc640d6afdcb7ea6f2964d12025-02-11T13:26:42ZengAOSISSouth African Family Practice2078-61902078-62042025-02-01671e1e510.4102/safp.v67i1.60654907The critical role of primary care clinicians in the early detection of ocular surface squamous neoplasiaLeendert Dekker0Jan F. Olivier1Klaus von Pressentin2Department of Ophthalmology, Faculty of Medicine, Dr George Mukhari Academic Hospital, City of TshwaneDepartment of Ophthalmology, Faculty of Medicine, Sefako Makgatho Health Sciences University, City of TshwaneDivision of Family Medicine, Department of Family, Community and Emergency Care, Faculty of Health Sciences, University of Cape Town, Cape TownOcular surface squamous neoplasia (OSSN) encompasses a spectrum of conjunctival tumours and, while rare globally, is the most common ocular malignancy in sub-Saharan Africa. Its rising incidence, primarily driven by the human immunodeficiency virus (HIV) epidemic, presents significant challenges in clinical diagnosis, as these lesions often share characteristics with other conjunctival lesions. In South Africa, where risk factors such as HIV, human papillomavirus infection and excessive sun exposure are prevalent, primary care clinicians play a crucial role in identifying and referring cases for early intervention. Ocular surface squamous neoplasia is often the first indication of HIV in patients who are otherwise unaware of their status when they present to healthcare workers, making it essential for healthcare workers to screen for HIV and initiate antiretroviral therapy. Early recognition of at-risk patients and prompt referral of suspicious lesions are imperative to improve patient outcomes and prevent vision loss.https://safpj.co.za/index.php/safpj/article/view/6065ocular surface squamous neoplasiaossnhpvhivultraviolet radiationprimary care. |
spellingShingle | Leendert Dekker Jan F. Olivier Klaus von Pressentin The critical role of primary care clinicians in the early detection of ocular surface squamous neoplasia South African Family Practice ocular surface squamous neoplasia ossn hpv hiv ultraviolet radiation primary care. |
title | The critical role of primary care clinicians in the early detection of ocular surface squamous neoplasia |
title_full | The critical role of primary care clinicians in the early detection of ocular surface squamous neoplasia |
title_fullStr | The critical role of primary care clinicians in the early detection of ocular surface squamous neoplasia |
title_full_unstemmed | The critical role of primary care clinicians in the early detection of ocular surface squamous neoplasia |
title_short | The critical role of primary care clinicians in the early detection of ocular surface squamous neoplasia |
title_sort | critical role of primary care clinicians in the early detection of ocular surface squamous neoplasia |
topic | ocular surface squamous neoplasia ossn hpv hiv ultraviolet radiation primary care. |
url | https://safpj.co.za/index.php/safpj/article/view/6065 |
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