Ghafouri A, Rodgers I R, Perry H D
Department of Ophthalmology, North Shore University Hospital-Cornell University Medical College, Manhasset, New York 11030, USA.
Ophthalmic Plast Reconstr Surg. 1998 Sep;14(5):375-7. doi: 10.1097/00002341-199809000-00014.
An 11-year-old girl with a mass arising from the caruncle and the upper eyelid was examined for spontaneous epibulbar bleeding. Excision of the lesion involved reconstruction of the proximal nasolacrimal system, lid margin, and conjunctiva. The histopathologic diagnosis was consistent with a dermoid of the caruncle. This case is notable not only for a dermoid accompanied by epibulbar bleeding but for its caruncular origin and attachment to the upper eyelid. This case suggests that the caruncle and the upper eyelid arise from similar embryologic structures.
