Postsurgical hematic cyst simulating a conjunctival melanoma.
A 75-year-old man had undergone bilateral intracapsular cataract extraction and then a scleral buckling procedure for an aphakic retinal detachment in the right eye. He presented 15 years later with a dark brown mass in the superior fornix of his right eye. On the basis of the clinical findings, the diagnosis of a conjunctival melanoma was considered. The lesion was surgically excised and found to be a chronic hematic cyst that arose adjacent to a episcleral sponge placed at the time of retinal detachment surgery. Hematic cysts should be included in the differential diagnosis of pigmented conjunctival lesions.
Lieb
W E
WE
Ocular Oncology Service, Wills Eye Hospital, Philadelphia, PA 19107.
Shields
J A
JA
Shields
C L
CL
Eagle
R C
RC
Deglin
E J
EJ
D000368:Aged; D003229:Conjunctival Diseases / Q000175:diagnosis* / Q000473:pathology; D003230:Conjunctival Neoplasms / Q000175:diagnosis* / Q000473:pathology; D003560:Cysts / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008545:Melanoma / Q000175:diagnosis* / Q000473:pathology; D014057:Tomography, X-Ray Computed