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Marsupialized fungal mycetoma masquerading as conjunctival melanoma
Fouad E Sayyad1, Carol L Karp, James R Wong
1*Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL; and †Florida Lions Eye Bank, Miami, FL.
Purpose:
To report a case of a fungal mass misdiagnosed as a pigmented conjunctival melanoma.
Method:
Case report.
Result:
A 38-year-old woman was referred for a pigmented conjunctival lesion that was diagnosed as a melanoma. She had a history of a scleral buckle in that eye for retinal detachment 2 years before presentation. Slit-lamp examination revealed a pigmented mass from the 11- to 2-o'clock position. This was noted to be imbricated within the invagination of a conjunctival fold from the previous surgery. The mass was removed, cultured, and confirmed to be a fungal infection from Scytalidium sp.
Conclusions:
Scleral buckles can cause folds in the conjunctiva, which can be foci for fungal infection.
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