Mass in the right eye with Redness & watering & pain.

A 28 y/o male presented with the c/o mass in the right eye for 2 years, which was progressively growing in size, and associated with redness, watering and mild pain. No h/o trauma or surgery to that eye in the past. Best corrected visual acuity in his right eye was 6/9. On local examination of the right eye, a greyish white nodular lesion of size 6 mm × 8 mm was present at the limbus between 7°-8° clock position, extending 2 mm into the cornea. Engorged conjunctival vessels were seen at the base of the lesion. The surface of the lesion was irregular. Blood investigations were normal. Serology test for HIV was negative. What is your diagnosis for this condition?

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Limbal Dermoid. An epibulbar dermoid may be one of two types: ... These dermoids are usually found under the outer, upper eyelid and sometimes are visible only when lifting the eyelid or in certain gaze positions. A limbal dermoid is found on the cornea or where the cornea and sclera meet. Limbal dermoids are congenital benign tumors that influence vision and cause visual abnormalities due to the development of astigmatism, encroachment on the visual axis, and fatty component infiltration into the cornea.

IT'S A..CASE OF.. D/D.. ? PTERYGIUM WITH SECONDARY INFECTION.. ? OSSN.. ? PAPILLOMA .. ? LIMBAL DERMOID.. NEED'S.. OPHTHALMIC EXAMINATION WITH EXPERTS OPINION TO CONCLUDE DIAGNOSIS AND TREATMENT..

Differential diagnosis OSSN Limbal dermoid Papilloma Nodular scleritis Inflammed pterygium

D/d 1 phlyctinular conjuctivitis 2 limbal dermoid

Thanx dr Pushkar ji Bhomia
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Limbal Dermoid

Limbal Drmd..

Ruptured limbal dermoid or down Careful history and examination will help in diagnosis and treatment

It's case of Limbal dermoid Required surgical intervention

Perhaps limbal dermoid cyst acquiring vascularization

LIMBAL DERMIOD WITH ATHEROMATOUS DEGENERATION

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