DR. RINKY AGARWAL

DR. NEETI RANA

Abstract

Anterior nodular episcleritis (ANE) is usually an innocuous condition responding favourably to medical management. Commonly, these can be confused with numerous ocular conditions such as pinguecula, phlycten, foreign body granuloma, scleritis and rarely, conjunctival lymphoma. Persistent, recalcitrant or recurrent episcleritis may unveil grave autoimmune systemic disorders or malignancies thereby needing thorough evaluation. Conjunctival lipomas are rare disorders afflicting ocular surface, usually bilaterally and presenting on the temporal side. In literature, ANEs have been rarely confused with conjunctival lipomas. A 30-year-old male was referred to us with history of persistent nasal ANE in left eye despite using oral Indomethacin and topical nepafenac for one year. After a thorough history taking and systemic evaluation, it was diagnosed as conjunctival lipoma. We discuss our approach to the case and its management in the present submission.