Case Study: February 2013

History

  • 10 year old male
  • Foreign body sensation
  • On examination-some hyperaemia of the left bulbar conjunctiva
  • Firm mass, beneath supero-temporal bulbar conjunctiva
  • Excised

Questions

  1. What is seen in the figures?
  2. What is the diagnosis?
  3. What is unusual about the history?
Click to show answers
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  1. Mature, compact bone
  2. Epibulbar osseous choristoma
  3. The lesion is commoner in females and rarely presents with a foreign body sensation

References

Boniuk M, Zimmerman LE. Episcleral osseous choristoma. Am J Ophthalmol. 1961: 53: 290-296.