By Robert H. Rosa Jr., MD
This quantity is split into elements: half I, Ophthalmic Pathology; and half II, Intraocular Tumors: scientific features. half I makes use of a hierarchy that strikes from common to express to aid derive a differential analysis for a selected tissue. half II is a compilation of chosen medical facets of value to the overall ophthalmologist. Following half II are the yank Joint Committee on melanoma 2010 staging types for ocular and adnexal tumors. This revised textual content includes a variety of new pathologic and medical photos. significant revision 2011-2012.
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Additional resources for 2011-2012 Basic and Clinical Science Course, Section 4: Ophthalmic Pathology and Intraocular Tumors (Basic & Clinical Science Course)
Ne i ~ ther type is pathognomonic for a particula r disease entity. Papillary conjunctivitis shows a cobblestone arrangement of flattened nodules with central vascula r cores (Fig 5 ~4). It is most com 1110nly associated with an all ergic im mune response, as in vernal and atopic keratoconjunctivitis, or it is a response to a fore ign body such as a co ntact lens o r ocular prosthesis. Papillae coat the ta rsal surface of the upper eyelid and may reach large size (giant papillary conjunctivitis).
Papillary conjunctivitis shows a cobblestone arrangement of flattened nodules with central vascula r cores (Fig 5 ~4). It is most com 1110nly associated with an all ergic im mune response, as in vernal and atopic keratoconjunctivitis, or it is a response to a fore ign body such as a co ntact lens o r ocular prosthesis. Papillae coat the ta rsal surface of the upper eyelid and may reach large size (giant papillary conjunctivitis). Li mbal papillae may occur in vernal keratoconj un ctivitis (Horner~ Trantas dots).
They may also in volve the central cornea. Size varies from a few millimeters to more than 1 cm. Dermoids may occur in isolation or. particularly when bilateral, as a manifestation of a congenital complex such as Goldenhar syndro me (oculoauriculovertebral dysgenesis, characterized by epibulbar dermoid, upper eyelid coloboma, preauricular skin tags, and vertebral anomalies) or linear nevus sebaceous syndro me (an oculoneurocutaneous disorder), A dermoid often contai ns dermal adnexal structures.