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Conjunctival papilloma - External and Internal Eye
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Conjunctival papilloma - External and Internal Eye

Contributors: Brandon D. Ayres MD, Christopher Rapuano MD, Harvey A. Brown MD, Sunir J. Garg MD, Lauren Patty Daskivich MD, MSHS
Other Resources UpToDate PubMed

Synopsis

A conjunctival papilloma is a benign epithelial growth on either the bulbar or tarsal conjunctiva. When due to viral causes, they are called verrucae. Very rarely can these lesions become malignant. There is a strong association between human papilloma virus (HPV) types 6 and 11 and conjunctival papillomas. The classification of these lesions can be based on cause or gross appearance. Thus, these lesions can be infectious, viral, squamous cell (infectious viral etiology), limbal, and inverted. Furthermore, they can be pedunculated (synonymous with infectious and squamous cell type) or sessile. Limbal lesions (which are sessile) are noninfectious and are believed to arise from UV radiation. Squamous cell papillomas are seen mostly in those less than 20 years of age, while limbal papillomas are seen more often in older adults. Depending on the size and location, these lesions can be irritating, cause tearing or blurring of vision, or simply be cosmetically unappealing.

Codes

ICD10CM:
D31.00 – Benign neoplasm of unspecified conjunctiva

SNOMEDCT:
255005000 – Papilloma of conjunctiva

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Conjunctival papillomas very rarely become malignant, and the changes noted above are alerting signs.

Best Tests

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Management Pearls

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Therapy

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References

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Last Updated:01/19/2015
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Conjunctival papilloma - External and Internal Eye
A medical illustration showing key findings of Conjunctival papilloma : Conjunctival nodule, Unilateral distribution
Clinical image of Conjunctival papilloma - imageId=2912647. Click to open in gallery.
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