Papillomas are benign epithelial proliferations that usually appear as sessile masses at the limbus or as pedunculated lesions of the caruncle, fornix, or palpebral conjunctiva. They may be transparent, pale yellow, or salmon colored and are sometimes speckled with red dots. Papillomas in children usually result from viral infection. They often resolve spontaneously. Oral cimetidine can induce papilloma regression. Carbon dioxide laser or surgical incision is indicated when symptoms are severe or if new lesions continue to appear. Seeding may follow excision, leading to recurrence.
Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.