case_images: PMC10880557_01
case_images: Right eye showing gelatinous lesion extending from 7 o'clock to 2 o'clock (arrows) with 3 mm corneal encroachment (interrupted arrow) with vascular fronds on surface, with feeder vessels (arrow) (a). Rose Bengal stain positivity (interrupted arrow) of surface in green filter with feeder vessel (arrow) (b). Left eye showing no conjunctival congestion, pseudogerontoxon with no papillary and limbal activity (arrows) (c, d).
case_images: OC-14-02-g-001.jpg
case_images: PMC10880557_01_OC-14-02-g-001.jpg
case_images: F1
case_images: The right eye showed a gelatinous lesion extending from 7 to 2 o'clock limbus with vascular fronds on surface, with 3 mm corneal encroachment with feeder vessels and pseudogerontoxon (Figure 1a (Fig. 1)). Rose Bengal stain positivity was noted on the lesion (Figure 1b (Fig. 1)). Left eye showed pseudogerontoxon with no papillary and limbal activity (Figure 1c, d (Fig. 1)).
case_images: Ultrasound biomicroscopy (UBM) showing a hyperreflective mass (arrow) is seen from 7 o'clock to 2 o'clock in perilimbal area encroaching the cornea. The mass is in flush with conjunctiva and involving superficial and anterior stromal layers of cornea. Sclera and other uveal structures are not involved.
case_images: OC-14-02-g-002.jpg
case_images: PMC10880557_01_OC-14-02-g-002.jpg
case_images: F2
case_images: Ultrasound biomicroscopy of the lesion showed no scleral involvement (Figure 2 (Fig. 2)).
case_images: Right eye showing amniotic membrane (arrow) over excised surface post operatively, with purse string suture and bandage contact lens in situ (a). Right eye showing superior nebular corneal opacity on 6 months follow up (arrow) (b).
case_images: OC-14-02-g-003.jpg
case_images: PMC10880557_01_OC-14-02-g-003.jpg
case_images: F3
case_images: Excision biopsy of the lesion was done in toto with wide margin (4 mm) along with alcohol assisted removal of corneal lesion with no touch technique, dry surgical field with cryotherapy of margins and amniotic membrane transplantation (Figure 3a (Fig. 3)). At 6 months follow-up, visual acuity was 6/6 in both eyes and there was no evidence of recurrence of lesion (Figure 3b (Fig. 3)).
case_images: Haematoxylin and eosin stain showing acanthotic multilayered thickening (arrow) of the conjunctival epithelium with reduced goblet cells. The stroma shows fibrovascular tissue (interrupted arrow) with loss of polarity in the epithelial cells. There is no break in the basement membrane (magnification 40 X).
case_images: OC-14-02-g-004.jpg
case_images: PMC10880557_01_OC-14-02-g-004.jpg
case_images: F4
case_images: The stroma showed fibrovascular proliferation suggestive of OSSN mild to moderate dysplasia (Figure 4 (Fig. 4)).