Figure 1

Figure 2a

Figure 2b

Photos courtesy of: LV Prasad Eye Institute
Used with permission. Not to be reproduced.

A 56-year-old woman presented with complaints of an ulcerating lesion at the inner corner of right eye for the past 8 months [Fig 1]. There had been an off and on history of yellowish discharge from the lesion; occasionally it is blood tinged. She had a history of trauma with a wooden stick at the affected site, 10 months earlier. Clinically, a firm mass could be palpated. Extraocular movements were full. Slit lamp and fundus examination were within normal limits in both eyes. CT scan showing coronal [Fig 2a] and axial view [Fig 2b] is shown above.

1.	The most probable diagnosis is:
	a. sebaceous gland carcinoma b. canaliculitis (Actinomyces) c. chronic dacryocystitis with fistula d. basal cell carcinoma
2.	The treatment would be:
	a. curettage of canaliculi and Amphoteracin B b. dacryo-cystorhinostomy with stent c. incisional biopsy d. wide excision of the lesion with margin control

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