title: Marsupialized fungal mycetoma masquerading as conjunctival melanoma.
abstract: OBJECTIVE
  To report a case of a fungal mass misdiagnosed as a pigmented conjunctival melanoma.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  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.
authors.affiliation: *Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL; and †Florida Lions Eye Bank, Miami, FL.
authors.forename: Fouad E
authors.initials: FE
authors.lastname: Sayyad
authors.forename: Carol L
authors.initials: CL
authors.lastname: Karp
authors.forename: James R
authors.initials: JR
authors.lastname: Wong
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Weiss
authors.forename: J Antonio
authors.initials: JA
authors.lastname: Bermudez-Magner
authors.forename: Sander
authors.initials: S
authors.lastname: Dubovy
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D001203:Ascomycota / Q000302:isolation & purification*; D003229:Conjunctival Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D003230:Conjunctival Neoplasms / Q000175:diagnosis; D003261:Contact Lenses / Q000382:microbiology; D003937:Diagnosis, Differential; D015821:Eye Infections, Fungal / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D005260:Female; D006801:Humans; D008545:Melanoma / Q000175:diagnosis*; D008271:Mycetoma / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D010866:Natamycin / Q000627:therapeutic use
chemical_list: D000935:Antifungal Agents; D010866:Natamycin