PMC4008893_01
Mild ptosis of right upper eyelid
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F1
A 19-year-old male presented with the chief complaints of drooping and heaviness of right upper eyelid [Figure 1] for past 4 years.
Amyloid deposition in the palpebral conjunctiva of right upper eyelid
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F2
On everting the right upper eyelid a pale dry yellowish pink growth was seen involving the whole of the tarsal conjunctiva [Figure 2].
Histopathology of right upper eyelid lesion (a) H and E stain (40 x 10) showing amorphous, eosinophilic amyloid like substance deposition in Conjunctival stroma (b) Congo Red stain (10 x 10) showing red color amyloid deposits
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F3
It revealed amyloid deposits in the subconjunctival stroma, confirmed by Congo red stain [Figures 3a and b].
Amyloid deposition in right lower (a) and left upper (b) Tarsal conjunctiva
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F4
At 3 month follow-up similar lesions were found in right lower [Figure 4a], left upper [Figure 4b], and lower palpebral conjunctiva.
Postoperative appearance at 4 months
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F5
Partial resolution was seen at 1 month follow-up [Figure 5].