Pathology Associates Of Lexington, P.A.

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EYE

Our practice encounters relatively little ophthalmic surgical pathology. So, some cases are listed. In using Google, do a primary search on ocular pathology; then subsearch for the particular entity of interest.

corneal or conjunctival squamous papilloma [L08-11567].
Salzmann's nodule of corneal peripery, nodular elastic tissue¹ [L08-11143].
Primary acquired melanosis of conjunctiva¹ [L09-2006], with nearly MIS melanoma [L10-3538].
Eyelid dermatochalasis (droopy & excess) may show the dermal stellate fibroblasts that appear when skin is excessively rubbed or manipulated [L09-2502].
actinic lesions of bulbar conjunctiva: they have (a) actinic basophilic elastotic deposits and (b) chronic inflamatory cells and (c) increased stromal vascularity. Pterygium is a lesion approaching the cornea [L09-3524], while a pengueculum is centered betwwen the cornea and either the nasal or temporal limbus of the eye.
granulomatous lesions = chalazion (tarsal plate to lid edge meibomian gland problem) or possibly a chronic complicated "stye" (hordeolum) infection of the lid margin eyelash sebaceous glands of Zeis [S09-6535] in sort of a lipogranulomatous reaction (S11-2598) where there are spaces left after sebum dissolved out.
lacrimal glands may be biopsied for execution of the Greenspan score in search of diagnostic support for the diagnosis of Sjorgren's syndrome.

References:

Mission for Vision website (clinical photos, etc.)...use their internal search engine and/or click on "ocular pathology tutorial".

(page started 11/8/08; latest addition 3/14/11)