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

doi:10.1097/ICO.0000000000000146

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

Ophthalmology

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

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 language	English (US)
Pages (from-to)	744-746
Number of pages	3
Journal	Cornea
Volume	33
Issue number	7
DOIs	https://doi.org/10.1097/ICO.0000000000000146
State	Published - Jul 2014

Keywords

conjunctival melanoma
mycetoma
scleral buckle
Scytalidium

ASJC Scopus subject areas

Ophthalmology

Access to Document

10.1097/ICO.0000000000000146

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Cite this

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title = "Marsupialized fungal mycetoma masquerading as conjunctival melanoma",

abstract = "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.",

keywords = "conjunctival melanoma, mycetoma, scleral buckle, Scytalidium",

author = "Sayyad, {Fouad E.} and Karp, {Carol L.} and Wong, {James R.} and Weiss, {Matthew J.} and Bermudez-Magner, {J. Antonio} and Sander Dubovy",

year = "2014",

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pages = "744--746",

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T1 - Marsupialized fungal mycetoma masquerading as conjunctival melanoma

AU - Sayyad, Fouad E.

AU - Karp, Carol L.

AU - Wong, James R.

AU - Weiss, Matthew J.

AU - Bermudez-Magner, J. Antonio

AU - Dubovy, Sander

PY - 2014/7

Y1 - 2014/7

N2 - 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.

AB - 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.

KW - conjunctival melanoma

KW - mycetoma

KW - scleral buckle

KW - Scytalidium

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