The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Conjunctival lipodermoid

Photo by Professor Chua Chung Nen

This 7 year-old girl has had this lesion in her right temporal conjunctival since birth. She is now conscious of fellow students staring at her eye and likes to have the lesion removed. The appearance is typical of a lipodermoid. A orbital CT scan is ordered to delineate the extension of the lesion. It is important to excise the lesion completely as any residual dermoid contents may elicit recurrent orbital inflammation and causes adhesion of the lateral rectus.

 

Lipodermoid in the right temporal conjunctiva.

 

Close-up view of the lipodermoid.

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