Key result
Surgical excision of bilateral conjunctival myxomas achieves zero recurrence and stable vision at 24 months.
Case Report (n=1)
Alerts clinicians to rare myxoma in persistent bilateral conjunctival swelling; leaves open etiology, recurrence, and management questions.
PURPOSE: The purpose of this study was to report the clinicopathological features and management of the first case of bilateral synchronous conjunctival myxoma. METHODS: This study was a case report and literature review. RESULTS: A 66-year-old Chinese male with past ocular history of uncomplicated bilateral phacoemulsification and intraocular lens (IOLs) 3 years ago prior to presentation presented with bilateral red and swollen conjunctiva for over a year. On examination his corrected distance visual acuity (CDVA) was 25/20 in the right eye 20/20 in the left eye. Slit lamp examination revealed swollen temporal conjunctiva bilaterally which appeared as painless, well-circumscribed, salmon-pink, fleshy patches. The lesion in the right eye was subsequently excised, followed by excision of the lesion in the left eye at 3-week interval. Microscopically, histopathological examination of both excised specimens revealed hypocellular conjunctival mucosa covered by non-dysplastic epithelium, with presence of myxoid degeneration in the subepithelial stroma and immunostaining findings consistent with conjunctival myxoma. At his latest follow-up at 24 months, there were no recurrences of the conjunctival masses and the CDVA was the same as preoperatively.
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Lin et al. (2022) conducted a case report in Bilateral synchronous conjunctival myxoma (n=1). Surgical excision was evaluated on Recurrence of conjunctival masses and visual acuity. Surgical excision of bilateral synchronous conjunctival myxoma resulted in no recurrences and stable visual acuity at 24 months follow-up.
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