Epibulbar nodular fasciitis associated with floppy eyelids

Purpose: To report a case of epibulbar nodular fasciitis in a patient with floppy eyelids. Method: Observational case report. Clinical, histologic, and immunohistochemical findings in a patient who underwent excision of a subconjunctival mass. Results: The clinical examination revealed floppy eyelids and an epibulbar mass in the right eye. The histopathology from an excisional biopsy of the mass was consistent with nodular fasciitis. Conclusions: Nodular fasciitis is a rare, benign, soft-tissue tumor that has not been previously reported in association with floppy eyelids. The cause of both disorders is thought to be repetitive trauma, suggesting that eye rubbing may be a common underlying etiology.