{Reference Type}: Review
{Title}: Presentation of a Smooth Muscle Hamartoma in the Bulbar Conjunctiva of an Adolescent Boy: A Case Report and Review of Literature.
{Author}: Sayegh Y;Tang V;Khzam RA;Rosenberg AE;Blessing N;Dubovy S;
{Journal}: Cornea
{Volume}: 42
{Issue}: 9
{Year}: 2023 Sep 1
{Factor}: 3.152
{DOI}: 10.1097/ICO.0000000000003314
{Abstract}: <B>OBJECTIVE: </B>The aim of this study was to describe a novel presentation of conjunctival smooth muscle hamartoma and review the histopathologic findings of this entity.<BR><B>METHODS: </B>A 17-year-old African American adolescent boy presented with a pink, nontender lesion of the right bulbar conjunctiva that did not improve with medical management. He had no previous medical or ocular history. The lesion was excised.<BR><B>RESULTS: </B>Histopathologic examination disclosed morphologically benign smooth muscle bundles within the substantia propria that stained positively for smooth muscle actin, vimentin, and desmin consistent with the diagnosis of a smooth muscle hamartoma.<BR><B>CONCLUSIONS: </B>Although congenital smooth muscle hamartomas of the conjunctiva have been rarely reported in the literature, this is the first described case of a smooth muscle hamartoma presenting in adolescence in the bulbar conjunctiva. This lesion should be considered in the differential diagnosis for adolescents with similar appearing lesions.