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JAMA Ophthalmology Clinical Challenge
November 11, 2021

Periorbital Mass in a 44-Year-Old Woman

Author Affiliations
  • 1Department of Ophthalmology, Scheie Eye Institute, University of Pennsylvania, Philadelphia
JAMA Ophthalmol. 2022;140(1):86-87. doi:10.1001/jamaophthalmol.2021.1441

A 44-year-old woman presented to the oculoplastic surgery clinic with a mass on the lateral canthus of her right eye. The mass had gradually grown over 2 months and was tender to palpation. She denied any vision changes, facial trauma, redness, or discharge from the lesion. She had an unremarkable ocular and medical history.

On examination, visual acuity was 20/20 OD and 20/20 OS. Ocular motility was full and pupils were equal, round, and reactive to light. Her examination was notable for a 3-mm subcutaneous, firm, mobile, noncompressible lesion near the lateral canthus of the right eye without overlying erythema, warmth, telangiectasia, or ulceration (Figure 1). The rest of the ophthalmic and orbital examination was normal.

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