Conjunctival Concretions

Conjunctival Concretions
SYMPTOMS Foreign body sensation | Tearing | Often asymptomatic
SIGNS Yellow-white palpebral conjunctival nodules
WORK-UP Thorough history. Slit lamp examination
TREATMENT Observation | If irritating, can remove with a cotton-tip applicator, small gauge needle, or forceps.
FOLLOW-UP Frequent follow-ups are not required
ADDITIONAL LAB | TESTS None
ETIOLOGY Usually chronic inflammation and aging
DIFFERENTIAL DX Papillae | Follicles | Epidermal inclusion cysts
NOTES “Lithiasis” is a misnomer

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