DR. RINKY AGARWAL

DR. NEETI RANA

Abstract

A man in mid-fifty’s noticed mild irritation in right eye for 10 days following ocular trauma with an unknown insect one month back. His visual acuity was 20/20 in both eyes. Slit lamp examination of left eye revealed an elevated lesion with oval-shape, brown colour, well-defined margins, and corrugated surface in inferior cornea. It was relatively translucent, and rigid shell-like, with a convex outer surface that had a waxy coating resembling the exoskeleton of insects. Anterior segment optical coherence tomography (ASOCT, Cirrus, Carl Zeiss, Meditec, Germany) revealed a crescent-shaped concavo-convex surfaced hyperreflective FB with sharp well-defined margins in the anterior cornea with shadowing of underlying structures.