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Mucosa associated lymphoid tissue (MALT) lymphoma is the most common ocular adnexal lymphoid proliferation. These neoplastic lesions have a more indolent course than non-MALT lymphomas, are usually found in the older age groups (50–70 years), are usually limited to localised (stage I) disease at presentation, and radiotherapy and chemotherapy have been the mainstay of treatment.1
Case report
A 15 year old male was referred by an ophthalmologist after an 8 month history of unusual painless follicles at both nasal fornices (Fig 1A). There were no visual symptoms and, based on a working diagnosis of an atypical vernal reaction, topical steroid treatment had resulted in mild size reduction of the lesions. Incisional biopsy was performed after the lesions remained static for 3–4 months.