Ocular coherence tomography in lymphangiectasia.

PURPOSE: To report the aid of ocular coherence tomography (OCT) in diagnosing conjunctival lymphangiectasia and correlate clinical and pathological findings.

METHODS

Single interventional case report. A 64-year-old man presented with a 2-year history of ocular discomfort, tearing, and a gradually enlarging lesion on the conjunctiva of his left eye.

RESULTS

Slit-lamp biomicroscopy revealed localized conjunctival swelling temporally in the left eye, with the lesion protruding between the upper and lower eyelids. Visante (Carl Zeiss-Meditec, Jena, Germany) OCT revealed clear fluid-filled spaces demarcated by septae within the elevated conjunctiva. The lesion was excised, and histopathology of the specimen showed features consistent with lymphangiectasia.

CONCLUSIONS

OCT, a valuable tool in imaging of the anterior segment, is also useful in evaluation of conjunctival pathology.