On examination, the child objected strongly to occlusion in their left eye. A green discharge was noted in association with a ‘fleshy’ mass extending from the upper palpebral conjunctiva to involve the visual axis of the right eye (see figure 1). A smaller lower lid membrane was also noted. The remaining ocular examination was unremarkable.
Figure 1 (fleshy mass involving upper palperbral conjunctiva of the right eye)