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Appropriate treatment of subconjunctival benign lymphoid hyperplasia (BLH) has been unclear. Most have noted poor response to oral or topical corticosteroids. Many recommend observation. Radiotherapy has been used, but there are risks of vision loss.
In this case, we found dramatic response to local subconjunctival injection of long acting corticosteroids, which may represent a therapeutic option for subconjunctival benign lymphoid hyperplasia.
Case report
A 72 year old woman noticed an enlarging mass on the nasal conjunctiva over the previous year. She denied any discomfort, diplopia, or visual changes. She was pseudophakic in both eyes, and did not have any past ocular trauma, infection, or eye disease. She had a history of hypothyroidism, multiple myeloma, tuberculosis, and pulmonary sarcoidosis. Two months before presentation she was found to have colon carcinoma treated with colectomy and chemotherapy. She was reportedly free of any tumour metastasis.
Her visual acuity was 20/30 …