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  • Title: Marsupialized fungal mycetoma masquerading as conjunctival melanoma.
    Author: Sayyad FE, Karp CL, Wong JR, Weiss MJ, Bermudez-Magner JA, Dubovy S.
    Journal: Cornea; 2014 Jul; 33(7):744-6. PubMed ID: 24886993.
    Abstract:
    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.
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