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Sesile squamous papilloma
Conjunctival Squamous Papilloma

  • Clinical features:
    • Symptoms:
      • May be asymptomatic or associated with foreign body sensation, itching, irritation, mucoid discharge, tearing and even decreased vision
      • When they become large enough, the mass effect of the lesions may prevent proper lid apposition or closure
    • Signs:
      • Can be pedunculated or sessile
      • Typically appear as strawberry red lesions
      • The geometric evenly spaced vessel arrangement throughout the lesions can be seen beneath the transparent, glistening surface
      • May be found anywhere on the conjunctiva as single or multiple lesions
      • Multiple pedunculated papillomas most commonly develop in children; they are thought to be caused by Human papillomavirus infection
      • Have no potential of malignant degeneration
      • Recurrence is frequent, especially in children.
  • Management:
    • No treatment recommended for asymptomatic lesions because of the high rate of spontaneous resolution.
    • Simple excision including an area of healthy surrounding conjunctiva with cryotherapy to the base of the excision can give an effective cure.
    • Medical therapy including interferon has been successful in treating recurrent lesions.
    • CO2 laser for vaporization therapy may be used.

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