A 45-year-old man of Hispanic ancestry presents for evaluation of what he describes as a "growth in both eyes." This growth has been present for some time; however, it has recently become more prominent The patient has had mild redness and irritation in both eyes, but he denies any change in vision. PHYSICAL EXAMINATION Both pupils are round, equal, and reactive to light and accommodation. No discharge is evident in either eye. However, the patient has well-defined wedge-shaped growths on the medial aspects of both eyes, which extend onto the corneas. Examination of the upper and lower eyelids reveals no abnormal findings.
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