Epibulbar osseous choristoma manifesting as a lacrimal gland mass: A case report

A 13-year-old girl was referred for assessment of a right-sided epibulbar lesion, which was suspected to be a lacrimal gland mass. The patient was asymptomatic with no ocular or systemic history. On assessment, a hyperemic, firm, and ill-defined mass was noted in the superotemporal epibulbar plane in the lacrimal gland area. An excisional biopsy was performed, with the histology confirming the lesion to be an osseous choristoma. We highlight a varied presentation of an epibulbar osseous choristoma, which should be included in the differential diagnosis of such a presentation in the lacrimal gland area in the pediatric population.