Kurtul Bengi Ece, Koca Suleyman
Department of Ophthalmology, Mustafa Kemal University Tayfur Ata Sokmen Faculty of Medicine, Hatay, Turkey.
Beyoglu Eye J. 2021 Feb 10;6(1):70-73. doi: 10.14744/bej.2021.65807. eCollection 2021.
Giant papillae (1.0 mm or greater in diameter) on the upper tarsal conjunctiva are one of the most common findings in cases of vernal keratoconjunctivitis (VKC). Presently described is the case of a 3-year-old female with a unilateral giant papilla formation prolabing from the medial side of the upper tarsal conjunctiva toward the ocular surface in the left eye. A brief review of the recent literature concerning the etiology, associated risk factors, surgical options, and management of patients with giant papillae is also discussed. A significant reduction in the size of the papilla was observed after a week of medical treatment with a topical steroid and antiallergic eye drops. To the best of our knowledge, this case demonstrates the first time that a giant papilla appeared in the form of a prolapsed mass extending from the tarsal conjunctiva in a child with VKC. Ophthalmologists should keep in mind that a giant papilla can look like another form of conjunctival mass, and should not rush to excise or biopsy, as it may respond to medical treatment.
上睑结膜上的巨大乳头（直径1.0毫米或更大）是春季角结膜炎（VKC）病例中最常见的表现之一。本文描述了一名3岁女性病例，其左眼上睑结膜内侧有一个单侧巨大乳头形成，从睑结膜向眼表突出。本文还简要回顾了近期有关巨大乳头患者的病因、相关危险因素、手术选择和治疗的文献。局部使用类固醇和抗过敏眼药水治疗一周后，观察到乳头大小显著减小。据我们所知，该病例首次证明了在VKC患儿中，巨大乳头以从睑结膜延伸的脱垂肿物形式出现。眼科医生应牢记，巨大乳头可能看起来像另一种形式的结膜肿物，不应急于切除或活检，因为它可能对药物治疗有反应。
