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Orbital foreign body masquerading as conjunctival melanoma 60 years after injury
Author(s) -
Gelston Christopher D,
Mandava Naresh,
Durairaj Vikram D
Publication year - 2005
Publication title -
clinical and experimental ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 1442-6404
DOI - 10.1111/j.1442-9071.2005.01116.x
Subject(s) - medicine , lesion , foreign body , melanoma diagnosis , orbit (dynamics) , melanoma , radiology , surgery , cancer research , engineering , aerospace engineering
A bstract A 74‐year‐old man presented with a 6‐month history of a pigmented conjunctival lesion on his left eye. The lesion was initially suspicious for conjunctival melanoma. The patient admitted to a remote history of trauma from a airgun pellet over 60 years ago. Anterior examination revealed a 6 × 6 mm pigmented left conjunctival lesion and B‐scan of the lesion was suggestive of a retained orbital foreign body. The lesion was removed through a transcaruncular medial orbitomy and pathology showed a retained orbital foreign body. A newly pigmented conjunctival lesion although initially concerning for melanoma represented a retained orbital body that surfaced many years after the initial orbital trauma.