These may be due to spots of degeneration (pingueculum), papilloma, foreign bodies, cysts, pterygium and non-pigmented tumours such as squamous cell carcinoma and occasionally melanoma. Pigmented conjunctival lumps are discussed separately
Clinical Features
A pingueculum is a small yellow lump adjacent to the iris at the 3 or 9 o’clock positions. They may become inflamed
Papillomas are warty red lumps that are often mobile over the conjunctiva beneath
Conjunctival cysts are small often multiple transparent lumps overlying the sclera
A pterygium is an inflamed-looking growth of conjunctiva onto the medial corneal surface
Malignant tumours of the conjunctiva usually form an enlarging solid lump
Management
See ophthalmologist if there is any suspicion of a malignant tumour, inflammation, pain or irritation, or poor cosmesis. Surgical removal may be appropriate. A pterygium can be removed for cosmetic reasons or if the vision is affected.
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