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Definition
Conjunctival papillomas are benign squamous epithelial growths of viral origin (human papillomavirus) with limited tendency toward malignancy (Bailey and Guethlein 1990). They may develop from the bulbar or palpebral conjunctiva. They are categorized as infectious, squamous, limbal, or inverted based upon clinical and patient history. They may also be classified according to gross appearance as either pedunculated or sessile.
Etiology
Infectious squamous conjunctival papillomas have a strong association with human papillomavirus (HPV) types 6 and 11 (Minchiotti et al. 2006). HPV is transmitted via direct human contact and typically produces benign tumor growths with minimal risk for malignancy. HPV 33 is also associated with conjunctival papillomas. The recurrence rate for conjunctival papillomas of viral etiology is quite high; limbal papillomas have a 40 % recurrence rate.
Noninfectious causes of conjunctival papillomas may...
References
Bailey RN, Guethlein ME (1990) Diagnosis and management of conjunctival papillomas. J Am Optom Assoc 61(5):405–412
Eagle RC (1999) Chapter 4. Conjunctiva. In: Eye pathology – an atlas and basic text. WB Saunders, Philadelphia, pp 47–48, 59, 61–62
Minchiotti S, Masucci L, Serapiao Dos Santos M, Perrella E, Graffeo R, Lambiase A (2006) Conjunctival papilloma and human papillomavirus: identification of HPV types by PCR. Eur J Ophthalmol 16(3):473–477
Omohundro JM, Elliott JH (1970) Cryotherapy of conjunctival papilloma. Arch Ophthalmol 84(5):609–610
Schechter BA, Rand WJ, Velazquez GE et al (2002) Treatment of conjunctival papillomata with topical interferon Alfa-2b. Am J Ophthalmol 134(2):268–270
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Puri, S. (2014). Papillomas, Conjunctival. In: Schmidt-Erfurth, U., Kohnen, T. (eds) Encyclopedia of Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35951-4_540-2
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DOI: https://doi.org/10.1007/978-3-642-35951-4_540-2
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