2009, 449-459, DOI: 10.1007/978-3-540-68632-3_29

Common Conditions Affecting the External Eye

Cintia F. Gomi and David B. Granet

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Abstract

• Hordeolum and chalazion are the most common eyelid lesions in childhood.
• Nevi are the most common conjunctival pigmented lesion with less than 1% of risk of malignant transformation.
• The nevus of Ota predisposes to development of uveal malignant melanoma, but not conjunctival melanoma.
• Besides cosmetic issues, dermoids may cause visual impairment, requiring surgery.
• Molluscum contagiosum is a common viral disease that occurs in clusters in the skin and may resolve spontaneously over the course of several months.
• Prophylaxis for neonatal conjunctivitis is mandatory due to well-known complications and sequelae.
• Acute conjunctivitis is a common cause of pediatric primary care visits. Although it is a self-limited condition, the majority of cases are infectious and contagious, urging for treatment.
• Allergy is the most common cause of chronic conjunctivitis, affecting more than 15% of the world population. Topical combinations of mast cell stabilizers and antihistamine drops are currently the best choice of treatment.

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