|Year : 1964 | Volume
| Issue : 4 | Page : 173-175
Molluscum contagiosum conjunctivitis
Govt. Ophthalmic Hospital, Madras, India
|Date of Web Publication||13-Feb-2008|
Govt. Ophthalmic Hospital, Madras
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Balakrishnan E. Molluscum contagiosum conjunctivitis. Indian J Ophthalmol 1964;12:173-5
Congestion of conjunctiva caused by molluscum contagiosum is likely to be passed of as acute conjunctivitis and treated without relief. Complications as vascularisation of the cornea or the many nodules at the margin of the lids attract the attention of the examining surgeon. The following cases have occured in patients of different ages.
Case 1 (Plate 1)-[Figure - 1]
An infant, 6 months old was brought for watering and congestion of the left eye of 3 weeks duration. The lower fornix was congested and cornea was clear. Over the skin margin of the lower lid two small nodules were seen. They were firm, round, with centrally depressed crown. There were similar nodules over the left supra-orbital margin and left temple. On excision of the nodules the congestion was cleared.
Case 2 (Plate 2)-[Figure - 2]
A boy, 14 years old, was treated for conjunctivitis of the right eye for 2 months without relief. There were two molluscum nodules over the skin margin of the lower lid of the right eye near the external canthus. Cornea was clear, vision and fundus were normal. The excision of the nodules led to clearance of the conjunctiva.
Case 3 (Plate 3)-[Figure - 3]
A boy, 10 years old had conjunctivitis of his left eye for one month. Both the upper and lower lids had a molluscum nodule at the margins. On excision of these nodules the congestion was cleared.
Case 4 (Plate 4)-[Figure - 4]
A female, 25 years of age was suffering from intense congestion and photophobia of the left eye of one year's duration. On examination a number of molluscum nodules were seen on the upper and lower lids and around the inner canthus of the left eye. A few of them were on the margins of the lids.
There was circum-corneal congestion with superficial infiltration over the epithelial layers of the left cornea. Vision left eye 6/36. She stated that similar nodules were seen on the hand of an infant who was frequently fondled by her.
To begin with a few nodules appeared over her lower lid. Hoping to cure herself of the condition, she tried to squeeze the nodules out when some cheesy material came out and infected the skin further over both the lids. Thus many more nodules appeared around the eye. Under local anesthesia all of them were dissected out. It relieved the symptoms completely with the healing of superficial keratitis, Vision improved to 6/9.
| Discussion|| |
In all of them the clinical diagnosis was confirmed by histopathological examination. (Plate 5)-[Figure - 5]
Molluscum contagiosum belongs to the group of pox virus and its natural mode of transmission is unknown. It could not be transmitted to the experimental animals. The history of the last case suggests that it spreads by contamination of the contents of the nodule. It is to be noted that in all these cases only one eye was involved, though both may be involved by the same contamination. When examining the cases of uniocular conjunctivities lid margins have to be carefully inspected, since, molluscum can be of the size of a pin's head to a pea. Excision of these nodules bring immediate relief of symptoms.
| Summary|| |
Fodr cases of uniocular conjunctivitis caused by molluscum contagiosum, and confirmed by a histopathological examination in patients of different ages are reported.
I thank my colleague Dr. C. N. Venkatadri who spotted these cases and brought them to my examination.
| References|| |
Arnold Sorsby (1958) Systemic Ophthalmology, Butterworth and Co.. London.
T. R. Harrison and Others (1962) Principles of Internal Medicine. Macgraw-Hill Book, New-York.
[Figure - 1], [Figure - 2], [Figure - 3], [Figure - 4], [Figure - 5]