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2008 Series -  April 15, 2008 Lecture 38 of 53  NEXT»

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Photo courtesy of: Carol L. Shields, M.D.
Used with permission. Not to be reproduced.

A 9-year-old white male child was referred for a second opinion for a congested limbal mass, which was present for the past 7 yers.  He complained of intermittent episodes of irritation and itching in the affected eye.  On examination, visual acuity was 6/6 in both eyes.  Right eye, anterior segment examination revealed a 5.0x2.6x1.5mm limbal mass as shown above.  The rest of the examination was within normal limits in both eyes.

1.  What is your clinical diagnosis?   
 

a. pingecula
b. conjunctival nevus
c. lymphangioma
d.  ocular surface squamous neoplasia

2.  The treatment advised would be:  
 

a. decongestant, anti-allergic and lubricating drops
b. observation and excision biopsy, if lesion grows further
c. excision biopsy and cryotherapy

For answers to the above, click here on or after April 22, 2008.

 

 


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