because of the earlier clinical manifestations of tumour occurrence compared with other sites. 2,3 Ocular RMS may originate from the orbit, conjunctiva, eyelid or rarely from within the globe itself; however, it is frequently generalized as 'orbital RMS'. 2 The characteristic presentation of ocular RMS in all age groups is rapidly progressive proptosis, with proptosis as the most common clinical feature. 2 Conjunctival and subconjunctival RMS appears similarly to our case, a fleshy, pink mass in the fornix; however, it may be more common in the superior fornix. 3 It cannot be ruled out that this case is instead primary anterior orbital RMS with subconjunctival extension. This case highlights that ocular RMS should be considered as a differential diagnosis for any ocular mass and that absence of proptosis does not rule out ocular RMS.
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