Conjunctival Atypical Lymphoid Hyperplasia Associated with Cytomegalovirus Infection: A Case Report.

Authors

Xianjie Yu, Lixiang Wang, Yingping Deng, Li Tang, Jing Tang

Published in

Ocular immunology and inflammation. Pages 1-5. Sep 01, 2026. Epub Sep 01, 2026.

Abstract

We report a rare case of CMV-associated conjunctival atypical lymphoid hyperplasia (ALH).
A case report.
A 34-year-old Chinese male with a 2-year history of recurrent bilateral redness, photophobia, and tearing, and no systemic or prior ocular illnesses, presented with severe bilateral conjunctival hyperemia, gelatinous limbal hyperplasia, and corneal opacities. Surgical excision was performed. Histopathology and immunohistochemistry revealed atypical lymphoid hyperplasia with a clonal B-cell population and CMV positivity within the lesional tissue.
This case expands the clinical spectrum of ocular CMV disease and underscores the importance of considering CMV in the differential diagnosis of chronic, atypical conjunctival lesions. The relationship between CMV infection and ALH warrants further investigation. Long-term follow-up is needed to monitor for local recurrence or progression to overt lymphoma.

PMID:
42678366
Bibliographic data and abstract were imported from PubMed on 01 Sep 2026.

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