October 2021
·
38 Reads
Indian Journal of Ophthalmology
Peripunctal tumors usually account for as low as 6.3% of all punctal lesions. Peripunctal nevus is benign in nature, but it can cause epiphora by its sheer mass effect or cosmetic blemish. Anterior segment optical coherence tomography has recently been used in various lower punctal pathologies. A 60‑year‑old lady presented with a painless, benign peripunctal nevus and underwent excision biopsy. Anterior segment optical coherence tomography was used for its in vivo assessment and defining features of the lesion. It showed a hyperreflective epithelial thickening and gradient hyporeflective layers with punctal occlusion.