Article Type

Original Study


Objective The aim of this study was to detect, diagnose, and treat the different conjunctival lesions over a period of 1 year. Background The conjunctiva is the site of expression of many lesions either benign or malignant and are worthy of study. Patients and methods The study was conducted on patients attending the Outpatient Clinic of Ophthalmology in Menoufia University Hospital. It was conducted on 159 patients with conjunctival lesions. Cases were examined and managed and the data were analyzed. Results The study included 159 cases. Overall, 100 cases (62.9%) were male and 59 cases (37.1%) were female. As regards age, 129 cases (81%) were adult (mean age: 56 ± 19.5) and 30 cases (19%) were children (mean age 11 ± 6.5). Benign conjunctival lesions were the most common and represented 155 cases (97.5%). The most common lesions were benign pigmented conjunctival lesions (41 cases, 25.8%). The second most frequent lesions were pterygia (40 cases, 25.2%). Pingueculae were the third most common conjunctival lesions (30 cases, 18.9%). The remaining lesions included allergic conjunctival masses (16 cases, 10%), epibulbar choriostomas (12 cases, 7.6%), pyogenic granuloma (eight cases, 5%), orbital fat herniation (four cases, 2.5%), cystic lesions (four cases, 2.5%), and ocular surface squamous neoplasia (four cases, 2.5%). Conjunctival lesions among children (in the decreasing order of frequency) included conjunctival choriostomas (12 cases, 30%), conjunctival nevi (11 cases, 27.5%), allergic conjunctival lesions (eight cases, 20%), congenital melanosis (six cases, 15%), conjunctival Tenon's cyst (two cases, 5%), and one case of pyogenic granuloma (2.5%). Conclusion Benign conjunctival lesions are the most frequent, although some tumors may hide systemic association or malignant tumor. Hence, any suspicious conjunctival lesion should be excised carefully and sent for histopathological analysis and close follow-up is recommended.