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A 45 year old male patient was referred to Department of Ophthalmology for conjunctival cyst in his left eye. His ophthalmic examination revealed conjuctival cyst formation in temporal conjuctiva. Both eyes had uncorrected vision of 1.0. The intraocular pressures were measured to be normal. The fundus examination revealed normal findings. A nail had struck his left eye 2 days ago. The orbital computed tomography (CT) scan was reported to be normal but anterior segment optical coherence tomography of the cyst was clinically inconclusive for a simple cyst. The patient underwent exploration of the left eye and an occult scleral penetration was noted.