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VOLUME 4 , ISSUE 1 ( January-June, 2020 ) > List of Articles


Proliferating Trichilemmal Cyst Presenting as a Limbal Mass

Nimisha Nagpal, Inderjit Kaur, Mridu Manjari, Pawan Prasher

Citation Information : Nagpal N, Kaur I, Manjari M, Prasher P. Proliferating Trichilemmal Cyst Presenting as a Limbal Mass. Curr Trends Diagn Treat 2020; 4 (1):41-43.

DOI: 10.5005/jp-journals-10055-0090

License: CC BY-NC 4.0

Published Online: 16-06-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Limbal mass may present as a diagnostic dilemma to the ophthalmologist. Histopathology of the excised mass plays a critical role in establishing the diagnosis and has prognostic implications. Herein, we report a rare case of trichilemmal cyst presenting as a limbal mass involving the bulbar conjunctiva. A 25-year-old female presented with symptoms of ocular discomfort associated with a whitish-opalescent, mildly elevated, nodular nasal limbal lesion measuring 5 × 4 × 3 mm in greatest dimensions in left eye. Excisional biopsy of the mass, along with excision of surrounding 2 mm healthy conjunctiva followed by mitomycin 0.04% application, was carried out. Histopathology features were characteristic of trichilemmal keratinization, a heretofore undescribed metaplasia of the conjunctival epithelium. No recurrence was seen up to 3 years of follow-up.

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