Dr. Pawan Prasher, P10480, Dr. Shakeen Singh
Management of limbal mass can be challenging in terms of establishing clinical diagnosis, histopathology and treatment. We report a case of a 25-year-old female who presented with gradually increasing mass in the left eye for over one month.The mass had gelatinous, pearly white appearance in the center with dilated vessels in the peripheral part.
The patient underwent excisional biopsy of limbal mass under local peribulbar anaesthesia followed by application of 0.04% mitomycin-C application on the scleral bed. Histopathology showed presence of islands of squamous cells with keratin filled cysts in the substantia propria.
The squamous cells showed abrupt keratinization, without any granular layer, consistent with trichilemmal keratinization with no evidence of atypia. At one year post-op, patient showed well healed conjunctiva with no evidence of recurrence in the area of excision.