Pathologie oculaire conjonctivale. Étude rétrospective sur dix ans au CHU de Toulouse-Rangueil et revue de la littérature

Our study aim is to assess the distribution of conjunctival eye lesions received in our institution between 01/01/1999 and 16/10/2010, in order to put forward the diagnostic difficulties associated with this location and the specific terms employed for ophthalmologic pathology. Twenty-one samples were analyzed. The non-tumoral lesions accounted for more than one half (pterygium, pinguecula, epithelial cyst, foreign body). The tumoral lesions were mainly represented by naevi. The naevi were characterized in this location by the presence of intralesional epithelial cysts, which distinguished them from primary acquired melanosis and melanoma. Only one case of papilloma was observed. In one fourth of the cases, the final pathological diagnosis was different from the clinical diagnosis. It seems legitimate to recommend a pathological analysis of conjunctiva lesions systematically.