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Atypical Presentation of Squamous Papilloma

Patel, Poorav, M.D., M.H.S.; Hemond, Michael, M.D., Ph.D.; Silkiss, Rona Z., M.D., F.A.C.S.

Ophthalmic Plastic & Reconstructive Surgery: September/October 2018 - Volume 34 - Issue 5 - p e179
doi: 10.1097/IOP.0000000000001058
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The Eye Institute, California Pacific Medical Center, San Francisco, California, U.S.A.

Accepted for publication November 25, 2017.

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

Address correspondence and reprint requests to Poorav Patel, M.D., M.H.S., The Eye Institute, California Pacific Medical Center, 711 Van Ness, Suite 250, San Francisco, CA 94102. E-mail: pooravp@gmail.com

A 94-year-old woman with advanced dementia presented to the emergency department with a progressive growth on the left eye resulting in a several month history of constant rubbing. On examination, the cornea was not visible (Fig. A). CT demonstrated an intact globe with homogenous tissue anterior to the cornea of the left eye (Fig. B). Histopathology demonstrated a bland undulating, moderately inflamed squamous lesion consistent with a squamous papilloma (Fig. C). Flow cytometry showed no suggestion of lymphoma. The lesion was debulked.

A

A

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