Conjunctival chemosis unfolding to adrenocortical carcinoma: A case report

Abstract

Conjunctival chemosis is a common ocular sign in clinical practice and is a non-specific clinical entity. We report a case of a 53-year-old male who presented with bilateral conjunctival edema due to adrenocortical carcinoma. Adrenocortical carcinoma is a very rare adrenal gland tumor with an annual global incidence of about 1- 2 per million population. The definitive diagnosis was made by detailed ophthalmic and systemic evaluation, imaging techniques, histopathological examination (HPE) and immunohistochemistry (IHC). This case report emphasizes the significance of complete evaluation of a patient, even in a specialty clinic.