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Year : 1964  |  Volume : 12  |  Issue : 4  |  Page : 173-175

Molluscum contagiosum conjunctivitis

Govt. Ophthalmic Hospital, Madras, India

Date of Web Publication13-Feb-2008

Correspondence Address:
E Balakrishnan
Govt. Ophthalmic Hospital, Madras
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Source of Support: None, Conflict of Interest: None

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How to cite this article:
Balakrishnan E. Molluscum contagiosum conjunctivitis. Indian J Ophthalmol 1964;12:173-5

How to cite this URL:
Balakrishnan E. Molluscum contagiosum conjunctivitis. Indian J Ophthalmol [serial online] 1964 [cited 2020 Oct 20];12:173-5. Available from: https://www.ijo.in/text.asp?1964/12/4/173/39096

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 Top

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.[2]

  Summary Top

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 Top

Arnold Sorsby (1958) Systemic Oph­thalmology, Butterworth and Co.. London.  Back to cited text no. 1
T. R. Harrison and Others (1962) Principles of Internal Medicine. Macgraw-Hill Book, New-York.  Back to cited text no. 2


  [Figure - 1], [Figure - 2], [Figure - 3], [Figure - 4], [Figure - 5]


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