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doi: 10.1097/ICO.0000000000000146
Case Report

Marsupialized Fungal Mycetoma Masquerading as Conjunctival Melanoma

Sayyad, Fouad E. MD*; Karp, Carol L. MD*; Wong, James R. BS*; Weiss, Matthew J. MD*; Bermudez-Magner, J. Antonio MD, FICO; Dubovy, Sander MD*,†

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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.

© 2014 by Lippincott Williams & Wilkins.


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