- 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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