Squamous cell carcinoma (SCC) of eye has a predilection for corneo-scleral limbus which is a transition zone with greatest mitotic activity. Almost all dysplastic lesions of cornea and conjunctiva involve corneo-scleral limbus. Isolated cases of SCC of cornea are rare. SCC may masquerade as benign lesions like squamous papilloma and pterygium. These lesions though removed are usually not submitted for histopathological examination leading to complications like recurrence and metastasis.
Here, we report a case of 35 year old male who presented with whitish mass on cornea which was diagnosed as SCC on cytology and later on was confirmed on histopathology. This case is reported for its rarity and for emphasizing that rapid, simple and minimally invasive technique like scrape cytology can be effective in pre or intra operative diagnosis of ocular surface squamous neoplasia thus helping in intra operative decisions regarding resection margins and post operative management.