A 35-YEAR-OLD man came to our clinic with chronic irritation of the left eye. He had astigmatism and amblyopia in this eye, diagnosed at age 18 years. He had also been followed up by an ophthalmologist because of a conjunctival lesion in his left eye. On examination, the best-corrected visual acuity was 20/20 OD, and 20/60 OS, where a corneal topography showed 5.5 diopters (D) of astigmatism at the 80 meridian. The right eye was normal, with 1.5 D of astigmatism with the rule. The left conjunctiva was mildly hyperemic, without secretions. There was an elevated, oval mass in the nasal side of the inferior palpebral conjunctiva, just temporal to and almost continuous with the caruncle. Numerous sebaceous glands opened at the surface of the mass, with "tubules" of greasy secretions protruding out from each gland. A few fine hairs were also noted on the surface (Figure 1).
Zamir E, Banin E, Chowers I, Arnon N, Pe'er J. Ectopic Caruncle. Arch Ophthalmol. 1999;117(10):1446-1447. doi:10.1001/archopht.117.10.1446