Sheraz M Daya1, Rebecca Papdopoulos. 1. Corneo-Plastic Unit and Eye Bank, Queen Victoria Hospital, East Grinstead, West Sussex, United Kingdom. sdaya@centreforsight.com
Abstract
PURPOSE: To report the aid of ocular coherence tomography (OCT) in diagnosing conjunctival lymphangiectasia and correlate clinical and pathological findings. METHODS: Single interventional case report. A 64-year-old man presented with a 2-year history of ocular discomfort, tearing, and a gradually enlarging lesion on the conjunctiva of his left eye. RESULTS: Slit-lamp biomicroscopy revealed localized conjunctival swelling temporally in the left eye, with the lesion protruding between the upper and lower eyelids. Visante (Carl Zeiss-Meditec, Jena, Germany) OCT revealed clear fluid-filled spaces demarcated by septae within the elevated conjunctiva. The lesion was excised, and histopathology of the specimen showed features consistent with lymphangiectasia. CONCLUSIONS: OCT, a valuable tool in imaging of the anterior segment, is also useful in evaluation of conjunctival pathology.
PURPOSE: To report the aid of ocular coherence tomography (OCT) in diagnosing conjunctival lymphangiectasia and correlate clinical and pathological findings. METHODS: Single interventional case report. A 64-year-old man presented with a 2-year history of ocular discomfort, tearing, and a gradually enlarging lesion on the conjunctiva of his left eye. RESULTS: Slit-lamp biomicroscopy revealed localized conjunctival swelling temporally in the left eye, with the lesion protruding between the upper and lower eyelids. Visante (Carl Zeiss-Meditec, Jena, Germany) OCT revealed clear fluid-filled spaces demarcated by septae within the elevated conjunctiva. The lesion was excised, and histopathology of the specimen showed features consistent with lymphangiectasia. CONCLUSIONS: OCT, a valuable tool in imaging of the anterior segment, is also useful in evaluation of conjunctival pathology.