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Epibulbar molluscum contagiosum

H J Ingraham1, D B Schoenleber

  • 1Department of Ophthalmology, Geisinger Medical Center, Danville, PA 17822, USA. hingraham@smtp.geisinger.edu

American Journal of Ophthalmology
|March 25, 1998
PubMed
Summary

Molluscum contagiosum can cause unusual conjunctival nodules in patients with atopic dermatitis. Early diagnosis and excision of these epibulbar nodules lead to complete symptom resolution.

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Area of Science:

  • Ophthalmology
  • Dermatology
  • Infectious Diseases

Background:

  • Atopic dermatitis is a chronic inflammatory skin condition.
  • Immunosuppression, often associated with atopic dermatitis treatments, can increase susceptibility to infections.
  • Molluscum contagiosum is a viral infection that typically causes skin lesions.

Observation:

  • A 39-year-old male patient with atopic dermatitis presented with ocular itching, foreign body sensation, and conjunctival injection.
  • Examination revealed three discrete epibulbar conjunctival nodules.
  • The patient was undergoing treatment with oral prednisone.

Findings:

  • Histopathologic examination confirmed the conjunctival nodules were caused by molluscum contagiosum.
  • Surgical excision of the nodules resulted in complete resolution of the patient's ocular signs and symptoms.

Implications:

  • This case highlights an unusual presentation of molluscum contagiosum in the eye.
  • Patients with compromised cell-mediated immunity, such as those with atopic dermatitis on immunosuppressants, are at higher risk for atypical ocular infections.
  • Prompt diagnosis and treatment are crucial for managing such conditions.

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