Severe Conjunctival Papilloma in a Six year old female - Case report

Abstract

Conjunctival papilloma is a benign growth arising from the stratified squamous epithelium of the conjunctiva. It is mostly a self-limiting growth. Conjunctival papilloma occurs commonly in male adults especially in their third and fourth decades of life. It rarely occurs in children. This is a case report of a six (6) year-old female patient who was seen at the Solwezi General Hospital Eye Clinic  (SGHEC) with complaints of difficulties in seeing, sandy sensation and tearing of the right eye. The patient had a twelve-month history of multiple fleshy growths on the conjunctival surface of the right eye, referred from a rural health centre in the District. A clinical diagnosis of conjunctival papilloma was made at SGHEC and the child was referred to Kitwe Teaching Eye Hospitals (KTEH) for further
management. At Kitwe Teaching Eye Hospital, a successful excisional biopsy of the conjunctival papilloma lesions on the right eye was conducted with adjunctive therapy of Mitomycin-C intraoperatively, and topical chemotherapy of 5- fluorouracil (5-FU) after surgery. A definitive diagnosis of Benign Conjunctival Papilloma was confirmed for the patient's condition, based on the results from the  histopathology samples that were sent to the Cancer Disease Hospital in Lusaka.