BMJ Case Reports 2017; doi:10.1136/bcr-2017-221624
  • Unusual presentation of more common disease/injury

Chronic red eye: a masquerade of advanced neoplastic disease

  1. Joaquim Murta1,2
  1. 1Department of Ophthalmology, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Coimbra, Portugal
  2. 2Faculdade de Medicina, University of Coimbra
  1. Correspondence to Dr Joana Providência, joanaprovidenciacosta{at}
  • Accepted 22 September 2017
  • Published 10 October 2017


A 42-year-old woman presented with chronic history of left red eye for more than 12 months, treated with difference topical medication but without response. Ocular external examination demonstrated a firm palpable mass in the medial portion of the lower eyelid and slit-lamp evaluation of the lesion showed an ulcerated conjunctival nodule, keratin secretor. CT of the orbits revealed left-sided orbital mass located anteriorly, inferiorly and medially in the orbit, adjacent to the globe and orbit walls. Incisional biopsy of the lesion was consistent with invasive squamous cell carcinoma of the conjunctiva. As the tumour had no response to initial adjuvant systemic chemotherapy, exenteration of left orbit was performed due to advanced disease.


  • Contributors JP did the writing of the manuscript. FP, GC and JM did the revision of the contents.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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