Case history
Case history #1
A 45-year-old man presents with ocular irritation, burning, and tearing with the presence of a white/red lesion on the side of his eye by his nose, which he reports has been growing towards the pupil for at least 5 to 10 years. He has been residing in the UK for the past 5 years but previously lived in West Africa. He reports slight blurring of his vision. He has a triangular-shaped piece of fleshy, fibrovascular tissue encroaching onto the nasal aspect of his cornea by about 3 to 4 mm. At its apex, it has a whitish head, and it is continuous with the conjunctiva at its base, which is about 6 mm in length. The eye otherwise looks normal with a best spectacle-corrected vision of 20/20.
Case history #2
A 35-year-old woman of Chinese origin presents with a lesion at the corner of her eye by her nose. This has been present for several years. She occasionally gets ocular irritation but is mainly worried about the cosmetic appearance. A raised fleshy lump can be seen at the nasal aspect of her cornea, which encroaches about 2 mm onto the cornea. The eye otherwise looks normal with vision recorded at 20/16.
Other presentations
Rarely, double vision may be the presenting complaint, caused by tethering of the medial rectus.
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