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OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 606

Subepithelial corneal hemorrhage in a patient with treated conjunctival melanoma


Department of Ophthalmology, University of Washington, Seattle, WA, USA

Date of Web Publication13-Apr-2022

Correspondence Address:
Jonathan S Trejo
University of Washington, Department of Ophthalmology, 750 Republican Street, Seattle - 98109, WA
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2275_21

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How to cite this article:
Trejo JS, Nguyen MT, Stacey AW. Subepithelial corneal hemorrhage in a patient with treated conjunctival melanoma. Indian J Ophthalmol Case Rep 2022;2:606

How to cite this URL:
Trejo JS, Nguyen MT, Stacey AW. Subepithelial corneal hemorrhage in a patient with treated conjunctival melanoma. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 May 26];2:606. Available from: https://www.ijoreports.in/text.asp?2022/2/2/606/342941



A woman in her 80s with a history of conjunctival melanoma and recurrent primary melanosis, stable for two years without treatment, presented with irritation in the affected eye. She had been treated with multiple resections, cryotherapy, interferon eyedrops, and mitomycin C eyedrops. Clinical exam revealed subepithelial corneal hemorrhage [Figure 1]a likely secondary to friable corneal neovascularization in response to limbal stem cell deficiency from treatment.[1],[2] Anterior-segment OCT [Figure 1]b demonstrated hemorrhage between corneal epithelium and Bowman's membrane, which resolved after 1 month with lubrication. Subepithelial corneal hemorrhage can be anticipated in patients with treated ocular surface tumors and can be managed conservatively.
Figure 1: (a) Corneal hemorrhage visualized during clinical examination. (b) Anterior segment OCT demonstrating hemorrhage between corneal epithelium and Bowman's membrane

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There are no conflicts of interest.



 
  References Top

1.
Sridhar MS, Vemuganti GK, Bansal AK, Rao GN. Impression cytology-proven corneal stem cell deficiency in patients after surgeries involving the limbus. Cornea 2001;20:145-8.  Back to cited text no. 1
    
2.
Muenzler WS. Intracorneal hemorrhage. Am J Ophthalmol 1973;76:440-3.  Back to cited text no. 2
    


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