Correspondence Address:
Dr. Manisha Singh
Dr Shroff Charity Eye Hospital, 5027, Kedarnath Marg, Daryaganj, New Delhi - 110 002
India

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A 24-year-old male presented with recurrent history of redness, watering photophobia, and pain in his left eye which resolved on topical antibiotic and steroids temporarily. There was no alleged history of foreign body or trauma. Visual acuity in the right eye was 20/20 and left eye was 20/80. Slit lamp bio-microscopy of the left eye revealed follicular conjunctivitis with mucopurulent discharge and a skin-colored, dome-shaped papule with waxy, curd-like core and an umbilicated center at the upper lid margin [Figure 1]a. The cornea in the upper one-third showed an epithelial defect with subepithelial and anterior stromal infiltration with pannus and few satellite lesions on the temporal aspect [Figure 1]b. Excision biopsy with cryotherapy of the lesion was done and sent for histopathological examination. This led to prompt resolution of symptoms and signs of the patient [Figure 1]c. Histopathological analysis of the specimen demonstrated epidermal hyperplasia producing a crater filled with molluscum bodies [Figure 1]d. Blood investigation was done to rule out any immunosuppression. This case emphasizes the fact that ocular molluscum contagiosum is often overlooked as a cause of chronic conjunctivitis.[1] Follicular conjunctivitis, subepithelial infiltration, and corneal pannus are due to hypersensitivity reaction from viral proteins shed by skin.[2]{Figure 1}

Molluscum contagiosum lid lesion varies in appearance and may resemble verruca, sebaceous cyst, milium, or fibroma. Lesion can be at the lid margin, some distance from ciliary margin and in the folds of the upper lid. Careful lid examination is necessary.

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