Conjunctival lesions in paediatric patients
Reviewed by Ivan Yip

This article documents the conjunctival lesions in paediatric patients from one unit from 2011–22 inclusive in the UK. There was a total of 85 cases with a mean age presentation of seven years old. Most common lesions were naevi (40%), limbal dermoids (21%), melanosis (14%), cysts (7%) and phlycten at 6%. Eight percent of cases were immediately listed for surgery, 28% discharged and 64% observed. This study also highlights three interesting cases: an intrascleral cyst, an embryonal rhabdomyosarcoma, and a left caruncular granuloma. It discusses possible differentials for these three unique presentations and suspicious features. They suggest imaging to monitor lesions, early imaging and biopsy when needed. The authors foresee in future that lesions may accurately be followed up in a virtual clinic situation with increasing advancements in mobile phone picture capturing capability.

A retrospective study of conjunctival lesions in the paediatric eye clinic over 12 years.
Logan J, Mohite A, Kemp O, et al.
EYE
2024;38:553–7.