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A 64-year-old man with an unusual conjunctival cyst
Digital Journal of Ophthalmology 2017
Volume 23, Number 1
March 8, 2017
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Seanna Grob, MD, MAS | Department of Ophthalmology, Veterans Affairs Boston Healthcare System, Boston, Massachusetts Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts Department of Ophthalmology, Massachusetts Eye and Ear Infirmary
Daniel R. Lefebvre, MD | Department of Ophthalmology, Veterans Affairs Boston Healthcare System, Boston, Massachusetts Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts Department of Ophthalmology, Massachusetts Eye and Ear Infirmary Ophthalmic Plastic Surgery, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts
Nora Laver, MD | Ophthalmic Pathology, Department of Ophthalmology, Tufts Medical Center and Tufts University School of Medicine, Massachusetts
Mary K. Daly, MD | Department of Ophthalmology, Veterans Affairs Boston Healthcare System, Boston, Massachusetts Department of Ophthalmology, Boston University School of Medicine, Boston, Massachusetts Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts
Examination
His visual acuities were 20/20 in the right eye and 20/100 pinholing to 20/30 in the left eye. Anterior examination was significant for a cystic lesion over the medial canthus in the left eye and a moderate cataract (Figure 1A). The cystic lesion was clear and transilluminated with a slit beam (Figure 1B). Within the cyst were numerous small, freely mobile, yellow-white particles (Figure 1C). Optical coherence tomography was performed and demonstrated these particles in cross section (Figure 1D). Multiple other smaller, but similarly appearing cysts, were present in the inferior fornices bilaterally.
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Figure 1
Clinical images. A, Left eye showing conjunctival cyst over the caruncle. B, Transillumination of the conjunctival cyst. C, Enlarged image of the conjunctival cyst. D, Ultrasound biomicroscopy through the inferior border of the conjunctival cyst and intracystic, hyperreflective particles.