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JAMA Ophthalmology Clinical Challenge
May 9, 2019

A Man With a Large Conjunctival Lesion

Author Affiliations
  • 1Department of Ophthalmology and Visual Sciences, University of Illinois, Chicago
JAMA Ophthalmol. 2019;137(7):842-843. doi:10.1001/jamaophthalmol.2019.1130

A 27-year-old man presented to the clinic for evaluation of a mass in his right eye. He had an unremarkable medical and ocular history and had not sustained any ocular trauma. He described a painless, reddish mass in his lateral conjunctiva, which had been present since birth. He was asymptomatic aside from rare episodes of pink tears in his right eye, and the lesion did not bother him cosmetically. He noted no blurry vision, diplopia, or pain with eye movements. His visual acuity was 20/20 OU, and there was no proptosis, ptosis, or afferent pupillary defect. Extraocular muscle movements were intact, and his intraocular pressure was 15 mm Hg OU. There was no change in lesion size observed with the Valsalva maneuver. A slitlamp examination revealed an 8-mm, round, fluctuant, vascular, multifocal mass involving the bulbar and palpebral conjunctiva near the lateral canthus (Figure). The results of the rest of the examinations, including cornea, anterior chamber, and dilated fundus examinations, were normal in both eyes.

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