title: Postsurgical hematic cyst simulating a conjunctival melanoma.
abstract: 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.
authors.affiliation: Ocular Oncology Service, Wills Eye Hospital, Philadelphia, PA 19107.
authors.forename: W E
authors.initials: WE
authors.lastname: Lieb
authors.forename: J A
authors.initials: JA
authors.lastname: Shields
authors.forename: C L
authors.initials: CL
authors.lastname: Shields
authors.forename: R C
authors.initials: RC
authors.lastname: Eagle
authors.forename: E J
authors.initials: EJ
authors.lastname: Deglin
mesh_terms: 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