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Conjunctival Lymphangiectasia Presenting as Pediatric Pseudopterygium

Pastora, Natalia M.D.; Peralta-Calvo, Jesus M.D, Ph.D.; Yebenes-Gregorio, Laura M.D.; Abelairas, Jose M.D, Ph.D.; Hierro-Zarzuelo, Almudena M.D.

Eye & Contact Lens: Science & Clinical Practice: May 2013 - Volume 39 - Issue 3 - p e12–e14
doi: 10.1097/ICL.0b013e31825878bd
Case Report

Objectives: The aim of this study is to report a case of conjunctival lymphangiectasia simulating a pediatric pterygium.

Methods: A 10-year-old girl with Turner syndrome and familial history of pterygia presented because of a conjunctival growing lesion clinically consistent with pterygium in her left eye. Visual acuity (VA) was 20/20 in the right eye and 20/40 in the left eye. Cycloplegic refraction was +1.50sph −0.50cyl×93° and +9.00sph −9.00cyl×180° in the right and left eyes, respectively.

Results: Resection of the lesion with amniotic membrane implantation and conjunctival autograft was performed. The histologic examination revealed conjunctival lymphangiectasia. Ten months later, the patient did not show any signs of recurrence. Refraction in the left eye was +0.5sph −1.5cyl×70°, and spontaneous VA was 20/20 in both eyes.

Conclusions: Pediatric pseudopterygium may be the clinical presentation of several ocular surface disorders. Thus, pathologic analysis of this lesion should be considered to determine its exact nature. Surgery lessens the refractive defect and hastens visual recovery.

Ophthalmology Department (N.P., J.P.C., J.A., A.H.Z.), Hospital Universitario La Paz, Madrid, Spain

Pathology Department (L.Y.G), Hospital Universitario La Paz, Madrid, Spain.

Address correspondence and reprint requests to Natalia Pastora, M.D., Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain; e-mail: ntl.pastora@gmail.com

The authors have no funding or conflicts of interest to disclose.

Accepted April 2, 2012

© 2013 Contact Lens Association of Ophthalmologists, Inc.