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Postsurgical hematic cyst simulating a conjunctival melanoma.

W E Lieb1, J A Shields, C L Shields

  • 1Ocular Oncology Service, Wills Eye Hospital, Philadelphia, PA 19107.

Retina (Philadelphia, Pa.)
|January 1, 1990
PubMed
Summary
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A chronic hematic cyst, mimicking conjunctival melanoma, developed 15 years after retinal detachment surgery. This case highlights the importance of considering hematic cysts in the differential diagnosis of pigmented conjunctival lesions.

Area of Science:

  • Ophthalmology
  • Ophthalmic Pathology

Background:

  • A 75-year-old male with a history of bilateral cataract extraction and right eye scleral buckling for retinal detachment presented with a pigmented conjunctival mass.
  • The patient's prior ocular surgeries included cataract extraction and a scleral buckling procedure for aphakic retinal detachment in the right eye.

Observation:

  • A dark brown mass was noted in the superior fornix of the right eye 15 years post-surgery.
  • Initial clinical assessment suggested a possible conjunctival melanoma due to the pigmented nature of the lesion.

Findings:

  • Surgical excision of the conjunctival mass revealed a chronic hematic cyst.
  • The cyst was found to be adjacent to an episcleral sponge, a remnant from the prior retinal detachment surgery.

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Implications:

  • Conjunctival hematic cysts can present as pigmented lesions, necessitating their inclusion in the differential diagnosis.
  • This case underscores the importance of considering iatrogenic or post-surgical complications in the evaluation of new ocular findings.