Pathology Associates Of Lexington, P.A.

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EYE

Our practice encounters relatively little ophthalmic surgical pathology. So, some cases are listed. In using Google, do a primary search on ocular pathology; then subsearch for the particular entity of interest.

corneal or conjunctival squamous papilloma [L08-11567].
Salzmann's nodule of corneal peripery, nodular elastic tissue¹ [L08-11143].
Primary acquired melanosis of conjunctiva¹ [L09-2006].
Eyelid dermatochalasis (droopy & excess) may show the dermal stellate fibroblasts that appear when skin is excessively rubbed or manipulated [L09-2502].
actinic lesions of bulbar conjunctiva: they have (a) actinic basophilic elastotic deposits and (b) chronic inflamatory cells and (c) increased stromal vascularity. Pterygium is a lesion approaching the cornea [L09-3524], while a pengueculum is centered betwwen the cornea and either the nasal or temporal limbus of the eye.
granulomatous lesions = chalazion (tarsal plate to lid edge meibomian gland problem) or possibly a chronic complicated "stye" (hordeolum) infection of the lid margin eyelash sebaceous glands of Zeis [S09-6535] in sort of a lipogranulomatous reaction where there are spaces left after sebum dissolved out.

References:

Mission for Vision website (clinical photos, etc.)...use their internal search engine and/or click on "ocular pathology tutorial".

(page started 11/8/08; latest addition 4/29/09)