Molluscum contagiosum of the Palpebral Conjunctiva

Hindaal, C.H.; Bijsterveld, O. P. Van

doi:10.1159/000308813

Cited by 7 publications

(3 citation statements)

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“…Molluscum affecting only the eye as described by Hindaal and van Bijsterveld remains a rarity. [7] This underlines the importance of a vigilant and meticulous examination and being aware of association of ophthalmic complaints with cutaneous MC lesions.…”

Section: Discussionmentioning

confidence: 99%

Successful use of oral acyclovir in ophthalmic molluscum contagiosum

Mutalik

Rasal

2019

Indian Dermatol Online J

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Molluscum contagiosum is a common tropical contagious viral infection, involving the skin and the mucous membranes. Ophthalmic molluscum contagiosum is a relatively uncommon condition presenting as secondary follicular conjunctivitis or kerato-conjunctivitis and may present with or without obvious dermal skin lesions. Often, unsuspected and misdiagnosed by eye care providers or observed as a concomitant feature by a skin care provider, unilateral conjunctivitis due to molluscum contagiosum remains easily treatable. Clearance of the primary skin lesion leads to rapid and complete resolution of ophthalmic signs. Two cases of ophthalmic molluscum contagiosum treated successfully with oral antiviral drug acyclovir are presented herewith as anecdotal therapeutic evidence.

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Section: Discussionmentioning

confidence: 99%

Successful use of oral acyclovir in ophthalmic molluscum contagiosum

Mutalik

Rasal

2019

Indian Dermatol Online J

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“…Apart from the well-known eyelid involvement, chronic follicular conjunctivitis [14], corneal micropannus and epithelial keratitis have also been described. Across Europe, Asia and South America, 12 cases of solitary conjunctival lesions have been reported [1,6,12,21,26,27,43,54,57], but in only three instances were histopathological findings presented [1,6,43] [56], are successful in healthy individuals but tend to fail in HIV-infected patients due to recurrence [31].…”

Section: Follow-upmentioning

confidence: 99%

Evolution of HIV-1-related conjunctival molluscum contagiosum under HAART: report of a bilaterally manifesting case and literature review

Schulz

Sarra

Koerner

et al. 2004

Graefe's Arch Clin Exp Ophthalmol

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Purpose: To present a rare case of bilateral conjunctival molluscum contagiosum (MC) in an HIV-positive individual who had unilateral lesion excision before induction of highly active antiretroviral therapy (HAART), and to discuss the pathophysiological consequences of immune restoration. Methods: Case report: A 40-year-old male Caucasian presented with atypical, bilateral lesions of the limbal conjunctiva due to MC. Before the induction of HAART, nodules in the left eye were excised whilst the single lesion in the right eye was left untouched. Results: The clinical diagnosis of conjunctival MC was confirmed histopathologically. Six months after the induction of HAART, the untouched lesion (right eye) had regressed and there was pronounced local injection of the conjunctiva. MC lesions did not recur after excision (left eye), and signs of inflammation were absent. Conclusion: Conjunctival MC is rare and associated with immune deficiency. To the best of our knowledge, the presented case is the first reported instance of bilateral, multi-lesional MC of the conjunctiva in an HIVpositive patient undergoing HAART. Attention must be paid to the possible complications associated with the restoration of immunocompetence.

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“…Although MC can be seen in any location, oral and conjunctival mucosae and plantar involvement were reported rarely . MC can be diagnosed clinically; however, diagnosis can be difficult in unusual locations.…”

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confidence: 99%