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health services utilization among older adults. To describe the risk factors, clinical presentation, management, and outcomes of patients with bilateral ocular surface squamous neoplasia (OSSN). Retrospective case series. Of the 25 patients with bilateral OSSN, the mean age at diagnosis of OSSN was 31 years (median, 24 years; range, 2-60 years). Risk factors for bilateral OSSN included xeroderma pigmentosum ( = 15, 60%), human immunodeficiency virus infection ( = 3, 12%), conjunctival xerosis ( = 1, 4%), and topical steroid use ( =
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