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Photos courtesy of: Carol L. Shields, M.D. Used with permission. Not to be reproduced.

A 48-year-old man had a foreign body sensation in his right eye and was referred for treatment of a forniceal tumor. Best corrected visual acuity was 6/6 in both eyes. Anterior segment examination was as shown above. The upper tarsal conjunctiva showed papillary reaction. The left eye was within normal limits and fundus in right eye showed a small choroidal freckle.

1.	What is the likely diagnosis?
	a. herniated orbital fat b. dermolipoma c. prolapsed lacrimal gland
2.	Treatment is:
	a. observation and lubricants b. excision of herniated fat c. partial excision of lacrimal gland
3.	Indications of treatment
	a. lesions encroaching visual axis b. Dellen formation c. none of the above d. all of the above

For answers to the above, click here on or after June 17, 2008.