Diagnosis and management of conjunctival papillomas

Lumps and bumps have been seen on the ocular surface or adnexa of many of our patients. Most of these are readily identified; however, we may occasionally see an unusual "growth" and wonder about its pathological significance. The topic of epithelial neoplastic growths with special emphasis on the subclass of papillomas is reviewed. The question of histopathological significance is raised in a case of epibulbar conjunctival growths. The differential diagnosis, which leads to the definitive diagnosis of viral conjunctival papillomas, is discussed. The management of viral conjunctival papillomas is reviewed.