Lumps and Bumps

Question 1

Conjunctival tumours

Answer 1

Benign: Neavi, Limbal dermoid, cyts, papilloma, graniloma
Malignant: melanoma, carcinoma, lymphoma

Question 2

conjuctival neavus

Answer 2

benign lesion
from birth?
near the limbus, cystic, brown, move with conjunctival manipulation

Question 3

nevus of ota

Answer 3

oculodermal melanocytosis
diffuse distribution or proliferated melanocytes
asymptomatic
doesn't become malignant- no treatment
unliatera facial/ ocular blue stuff
follows trigenimal nerve distribution

Question 4

primary acquired meloncytis

Answer 4

middle aged women
unilaterla, flat, indistinct, region of conjuctiva
infrior and superior fornices
stable- smaller??
colour change? could become malignant?

Question 5

limbal dermoid

Answer 5

collagen tissue covered by epithelium
congenital benign tumour
overly fleshy lesion
in children
white/grey/pink/white
dry eye? irritation
cosmetic problems
fools up- excision

Question 6

conjunctivval inclusion cyst

Answer 6

closed sac containing fluid/ semisolid material
secondary to tumour/surgery
cosmetic probs
prevents eye closure 
excision

Question 7

conjunctival papilloma

Answer 7

infection with papilloma viruses
young px
fleshy mass with vascular tufts
surgery/vit A/sterois/interferon
high recurrence

Question 8

Pyogenic granuloma

Answer 8

wound healing process
fibrovasculirsed tissue growth
occurs over chalazion, strabismus surgery, pterygium surgery, chronic irritation from nasolacrimal tubing/punctal pungs
ovoid mass with pedunculated base, adherent to underlying sclera
IRRITATION/ INADeQUATe LID CLOSURE/ CORNEAL DELLEN

EXCISION

Question 9

squamous carcinoma

Answer 9

older white px
sun exposure, light skin, jobs outside
pink fleshy mass, elevated, limbus, IPA, cORNEA? corkscrew vessels, leukoplakia,
NODULAR/DIFFUSE
intraocual- glaucoma, pas, iris neovascularusation
RISK OF SPREADING TO BRAIN

Question 10

conjunctival melanoma

Answer 10

ppoor diagnosis, refere, surgery
aised/flat nodular pigmented area
white skin, early 50;s 
feeder vessels 
fixation to underlying tissue
extends limbus
due to primary acquired melanoma, and neavus?

Question 11

lymphoma

Answer 11

salmon, slow progressing, forniceal, bulbar/palpebral conjunctiva
sign of sytemi lymphoma??
send px to haematologist
DD with squamous papilloma, granuloma

Question 12

Tumour of the uvea

Answer 12

iris tumours

choroidal tumours

Question 13

iris tumours

Answer 13

iris neavus
iris cysts
iris melanoma
metastasis

Question 14

irirs neavus

Answer 14

benign, flat, brown, freckle
meloncytes on iris- iris from pupil to TM
asymptopmatic

Question 15

iris pigment epithelial cyts

Answer 15

round, smooth, like a bulge, iridiocillary junction, thin wall
single/multiple
plateu iris config/
watch for glaucoma attacks

Question 16

suspicious irirs neavus

Answer 16

high iop
documented growth
prominent vasularity
ring growth

Question 17

iris melanoma

Answer 17

within or behind iris
feeding bv close to tumour
deformed pupil
cataract behind tumour
documented growth
DD- with a cyst, nevus

Question 18

metastais

Answer 18

choroidal
tumour
malignant
associated with breast/lung cancer

DD it with Iris naevus
Melanoma
Choroidal or ciliary body melanoma Iris cyst
Haemangioma
ICE syndromes
Iris FB