₦airaland Forum

A NL user emailed this case to. me a while ago, and he allowed me share it. What does the house think it is??

Presentation

Started a month ago as a small elevation, increased in size
No pain
No visual disturbance
Patient bought gtt cipro and had been using it for 2wks

Examination
The growth actually arises from the upper palpebral conj
There is also severe hyperemia in the lower palpeb. conj and fornix.
Bulb. conj is Normal
The growth actually hangs down next to the caruncle like a pendulum , the growth has a tip and produces a watery yellowish discharge (muco. p)

Vision is normal. There is no itch too

optm jaunty

It's subconjuctival hermorrage

homeboy205:
It's subconjuctival hermorrage

It is not subconj.

rexbuton:
A NL user emailed this case to. me a while ago, and he allowed me share it. What does the house think it is??

Presentation

Started a month ago as a small elevation, increased in size
No pain
No visual disturbance
Patient bought gtt cipro and had been using it for 2wks

Examination
The growth actually arises from the upper palpebral conj
There is also severe hyperemia in the lower palpeb. conj and fornix.
Bulb. conj is Normal
The growth actually hangs down next to the caruncle like a pendulum , the growth has a tip and produces a watery yellowish discharge (muco. p)

Vision is normal. There is no itch too

can't really get a good view of it . can't see anything hanging close to the caruncle i suspect it to b over the superior limbus . nevertheless from what was described , It's having the presentation of hordeolum. at the initial stage of the growth was there pain? can't really tell much Because I'm not having a Good visual of the growth. you may also need to rule out a chalazon too; but it having discharge is makin it a bit confusing . just makin judgements from what was written though #blind judgements lol

DeRay98 BraniacX drsteroid jauntty allycat donodion

optm:
can't really get a good view of it . can't see anything hanging close to the caruncle i suspect it to b over the superior limbus . nevertheless from what was described , It's having the presentation of hordeolum. at the initial stage of the growth was there pain? can't really tell much Because I'm not having a Good visual of the growth. you may also need to rule out a chalazon too; but it having discharge is makin it a bit confusing . just makin judgements from what was written though #blind judgements lol

Can you see that reddish body on the medial side? it is a growth from under the upper eyelid.. very close to the canthus. it produces pus.
there was never pain. It is not a chalazion. a chalazion is hard/tough and nodular and under the skin. This one is a fleshy overgrowth

rexbuton:
Can you see that reddish body on the medial side? it is a growth from under the upper eyelid.. very close to the canthus. it produces pus.
there was never pain. It is not a chalazion. a chalazion is hard/tough and nodular and under the skin. This one is a fleshy overgrowth

I do not have a good visual of it

optm:
I do not have a good visual of it

Okay

rexbuton:
A NL user emailed this case to. me a while ago, and he allowed me share it. What does the house think it is??

Presentation

Started a month ago as a small elevation, increased in size
No pain
No visual disturbance
Patient bought gtt cipro and had been using it for 2wks

Examination
The growth actually arises from the upper palpebral conj
There is also severe hyperemia in the lower palpeb. conj and fornix.
Bulb. conj is Normal
The growth actually hangs down next to the caruncle like a pendulum , the growth has a tip and produces a watery yellowish discharge (muco. p)

Vision is normal. There is no itch too

As at when did the growth started? After application of the cipro or before?

rexbuton:
A NL user emailed this case to. me a while ago, and he allowed me share it. What does the house think it is??

Presentation

Started a month ago as a small elevation, increased in size
No pain
No visual disturbance
Patient bought gtt cipro and had been using it for 2wks

Examination
The growth actually arises from the upper palpebral conj
There is also severe hyperemia in the lower palpeb. conj and fornix.
Bulb. conj is Normal
The growth actually hangs down next to the caruncle like a pendulum , the growth has a tip and produces a watery yellowish discharge (muco. p)

Vision is normal. There is no itch too

As at when did the growth started? After application of the cipro or before? And besides, what purpose was the solution bought for? Assesment and deductions.could be made from the history please.

donodion:
As at when did the growth started? After application of the cipro or before?

Before

rexbuton:
Before

This could be anything between conjunctivitis or corneal ulcer bro.

A biopsy sample of the growth tissue would assist confirmable diagnosis and right treatment.
The patient must consult an optometrist asap please.

My 10 cent...sorry i replied late...came back late.

A microbial biopsy first, infection most likely and if bacterial most likely not gramme -ve , treatment should be both systemic and topical when causal organism identified, use steroids if indicated. if infection also systemic refer to gen pract. Refer to ophthalm for excission if necessary after resolution of infection. First make sure that the sub conjunctival glands( meibomian, wolfring, krausse and zeiss in no particular order) and tarsal plate are involved. Sorry am late, just logged in and got this.

******MODIFIED******

@ bolded, meant to type that you should make sure they're not involved ++++ oooops sorry

Thou the Picture isn't clear but the symptoms presented are synonymous with that of Palpebral Conjunctival Cyst which I have encountered in Clinic.A clearer pix will really help with an accurate diagnosis and treatment plan.

still poor quality

picture 2

the sender obviously needs a better camera

This is a case of Inferior Palpebral Conjunctival Cyst which I saw some months ago.Permission was taken from Patient.

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rexbuton:
optm
jaunty

rexbuton:
picture 2

I can appreciate the picture better though not clear enough: a biopsy should be done as suggested earlier.

Conjunctival tumor. Biopsy will determine if it is malignant or benign.


Differentials....

......Episcleritis


........,..Pterygium.