Letters RESEARCH LETTER Report of a Case | A 55-year-old man had a lesion near the me- dial commissure of his right eye noted since birth (Figure 1A). It had never displayed a growth spurt. He had no ocular dis- Congenital Megacaruncle: A Unique and Innocent comfort, visual decline, epiphora, or diplopia. Findings on a Ocular Adnexal Anomaly Normal caruncular tissue contains a goblet cell–rich nonkera- review of systems were negative. The lesion was firm, red- dish, nontender, and attached to the right lower eyelid mar- tinizing squamous epithelium, pilosebaceous units, eccrine and/or apocrine sweat glands, acini of lacrimal gland tissue, gin, which did not have a punctum. Visual acuity was 20/20 OU and the fundus was normal. The lesion was excised for cos- lobules of fat, and striated orbicularis muscle. Acquired le- sions of the caruncle have been well categorized. The rarest metic reasons. The excised formalin-fixed tissue was white and firm and lesions are congenital, including ectopias, dysgeneses (dys- 1,3,4 measured 7×4×3 mm. It was a symmetrically dome-shaped plasias), and duplications (supernumerary caruncles). We structure on both its external and cut fibrous surfaces. Histo- report a case of a congenitally well-formed massive caruncle pathologically, it was covered
JAMA Ophthalmology – American Medical Association
Published: Dec 1, 2013
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