Marsupialized fungal mycetoma masquerading as conjunctival melanoma

Fouad E. Sayyad, Carol L. Karp, James R. Wong, Matthew J. Weiss, J. Antonio Bermudez-Magner, Sander Dubovy

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


PURPOSE: To report a case of a fungal mass misdiagnosed as a pigmented conjunctival melanoma. METHOD:: Case report. RESULT:: 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.

Original languageEnglish (US)
Pages (from-to)744-746
Number of pages3
Issue number7
StatePublished - Jul 2014


  • conjunctival melanoma
  • mycetoma
  • scleral buckle
  • Scytalidium

ASJC Scopus subject areas

  • Ophthalmology


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