ASOPRSFall Scientific SymposiumSyllabus
194
F1
LongTermFollowup for Conjunctival BenignReactive LymphoidHyperplasia
inChildren
Adel Alsuhaibani
1
, Adel Al Akeely
1
, HishamAlkhalidi
2
, Deepak Edward
3
, HindAl-Katan
3
.
1
Ophthalmology department, KingSaud
University, Riyadh, Saudi Arabia,
2
Pathology department, KingSaudUniversity, Riyadh, Saudi Arabia,
3
KingKhaled EyeSpecialist
Hospital, Riyadh, Saudi Arabia
Introduction:
To present the long term follow up for childrenwith conjunctival Benign Reactive LymphoidHyperplasia (BRLH).
Methods:
A retrospective case series including all children diagnosedwith conjunctival Benign Reactive LymphoidHyperplasia
who presented to King Khaled Eye Specialist Hospital and KingAbdulaziz University Hospital in Riyadh, Saudi Arabia from January
2000 toMay 2014.
Results:
Twenty three childrenwere treated during the 14-year period of the study.Themean patient age at diagnosiswas
11.6 years (median, 11 years; range, 7-17 years). 22 patientsweremales (96%). On average they presented to the hospital
3.75months after they first noticed the lesion (range 1week- 2 yearswith amedian of 3months). Regarding systemic associations,
3 had bronchial asthma, one patient was a knownDown’s syndrome, one had generalized skeletal malformation and one had
gastritis. Surgical history revealed tonsillectomy/adenoidectomy in 5 patients (22%).
The bulbar conjunctival was involved in all the affected eyes. Nasal bulbar conjunctivawas involved in 22 (96%) of patients and
temporal bulbar conjuctiva in one (4%) patient. Carunclar involvement was present in 7 (30%) patients.
All patients eventually underwent complete excisional biopsy. Six (27%) patientswere treatedmedicallywith no noticeable
improvement before excision. Follow up ranged from13months to 165months (average 40months) and recurrence occurred only in
one patient 1 year post-operatively.Therewas no evidence of malignant transformation.
Conclusions:
BRLH of the conjunctiva in children differs from adults in its prevalence, gender predilection, site of involvement,
associationwith lymphoma, the need for extensive systemic investigation and options of treatment.This does not underestimate the
importance careful examination by pediatrician and thorough pathological evaluation of the specimen for any evidence of malignancy.
DetailedProgram
—Friday,October 17, 2014
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