2.  Limbus is the transitional zone at
the junction of the sclera and the
cornea.
 1 mm wide

3.  Duration
 Slow or fast growing
 Vascular /non vascular
 H/o trauma or surgery
 Change in colour
 Associated symptoms
 Progression of growth

4.  Congenital
 Inflammatory
 Allergic
 Vascular
 Traumatic
 Degenerative
 Nutritional
 Neoplastic
 miscellaneous

5. 1. Dermoid
2. Dermolipoma
3. Raised Naevus
DERMOID
 Yellowish white mass
 Consists of epithelium , sebaceous gland,
hair
 Treatment: Excision

7. DERMOLIPOMA
 soft , yellow and movable
 Subconjunctival mass
 Adipose tissue & dermis around
 Associated with Goldenhar’s
syndrome

8.  Flat or raised ,grey gelatinous
,brown,black
 Tendency to grow during puberty
and pregnancy
 May undergo malignant change
 Treatment: excision if it grows

10.  Episcleritis
 Scleritis
 EPISCLERITIS
 Inflammation of deep conjunctival tissue
 Pinkish elevated tender nodule or diffuse
 Occurs in gout ,Rheumatism
,endogenous allergy to bacteria
 Treatment: topical steroids or NSAIDs
Systemic Indomethacin
Recurrence – systemic therapy

12. SCLERITIS–
 Nodular or diffuse form
 Nodule is fixed to sclera
 Pain and uveitis
 Causes– collagen
disorders,Endogenous infections.
 Treatment: steroids

14.  Phlycten
 Vernal catarrah– limbal form
 Ophthalmia nodosa

15.  Pinkish white nodules surrounded
by congestion
 causes photophobia ,
lacrimation , blepharospasm
 Endogenous reaction to
tuberculous protein
 Treatment: topical steroids and
treat the cause

17.  Multiple nodules in the upper
limbus , white superficial spots
 White ropy discharge
 Hypersensitivity to exogenous
allergen – pollen and dust
 Recurrence occurs in summer
 Common in children
 Treatment : steroids , mast cell
stabilizers, NSAIDs

19.  Granulomatous inflammation
to caterpillar hair
 Treatment: steroid or excision

21.  Benign red lesion which blanches
on pressure
 Bleeds on trivial trauma
 May be associated with
hemangioma
of lid and orbit

23.  Granuloma
 Implantation cyst
 Iris prolapse covered by conjunctiva
GRANULOMA
 After surgical wound (squint or pterygium
surgery)
 Site of foreign body
 Treatment – surgical excision

25.  Pingecula
 Cystic pterygium

26.  Triangular yellow patch on nasal
limbus
 Occurs in elderly
 Hyaline infiltration with elastotic
degeneration of subconjunctival
tissue
 Treatment – excision for cosmetic
purposes

28.  Triangular sheet of fibrovascular
tissue invading cornea
 Occurs after recurrence
 Treatment – excision and auto
conjunctival transplantation

30.  Silvery white, foamy or cheesy
patch
 Keratinised epithelium –
temporal limbus
 Seen in vitamin A deficiency

32.  Papilloma
 Intraepithelial epithelioma
 Squamous cell carcinoma
 Primary melanoma

33.  Benign polypoid tumour
 Sessile/peduncle
 Can become malignant
 Treatment: surgical excision

34. SQUAMOUS CELL CARCINOMA
 Flat granular growth
 Invades underlying structures
 Requires early excision

36.  Nodular form, may be
pigmented or non-pigmented
 Treatment - excision

38.  Intercalary or ciliary
staphyloma
 Filtering bleb – following
trabeculectomy
 Parasitic cyst – cysticercosis
 Retention cyst

40.  Bulge in limbal area
 Lined by root of iris due to ectasia
of weak scar tissue
 Following healed perforation
injuries or corneal ulcer

42.  Thin walled cyst with clear fluid
 Excision indicated if there is
irritation or foreign body sensation
or for cosmetic purposes