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Anterior segment optical coherence tomography and ultrasound biomicroscopy in the diagnosis of subconjunctival mycosis mimicking nodular scleritis
  1. Pratima Vishwakarma1,
  2. Somasheila I Murthy1,
  3. Vineet Joshi1 and
  4. Dilip Kumar Mishra2
  1. 1Shantilal Shangvi Cornea Institute, LV Prasad Eye Institute, Hyderabad, India
  2. 2Ophthalmic Pathology Services, LV Prasad Eye Institute, Hyderabad, India
  1. Correspondence to Dr Somasheila I Murthy; smurthy{at}


A female patient in her 20s presented with a bulbar conjunctival mass lesion that was diagnosed as nodular scleritis. It was treated with topical and oral steroids in another hospital. Imaging was done using anterior segment optical coherence tomography and ultrasound biomicroscopy, which helped to rule out scleritis and subconjunctival cysticercosis. Histopathology of the excision biopsy specimen revealed fungal filaments. Topical antifungals were started, and the condition resolved without recurrence after therapy. Although rare, infections should be considered in the differential diagnosis of conjunctival mass lesions. Imaging can help to rule out other entities and guide towards appropriate management.

  • Eye
  • Ophthalmology

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  • Contributors All persons designated as authors qualify for authorship, and all those who qualify are listed. Each author has participated sufficiently in the work to take public responsibility for appropriate portions of the content. PV collected the data, conceptualised and drafted the manuscript. SIM edited the manuscript. VJ, and DKM finalised the article. PV, VJ and DKM were involved in the management of the patients and contributed to the interpretation of the results.

  • Funding This study was funded by Hyderabad Eye Research Foundation (LEC-BHR-R-11-22-958).

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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