Concretions

 

  • Part of normal aging.
  • May be as a result of chronic inflammation or irritation such as in prolonged contact lens wear.

Clinical features:

  • Symptoms:
    • Maybe asymptomatic
    • Foreign body sensation
  • Signs:
    • Small, hard yellow-white deposits commonly seen in the palpebral conjunctiva
    • Usually discrete, benign, but sometimes they become confluence
    • May erode through to irritate the ocular surface

Treatment:

  • No treatment required
  • Surgical removal using a needle point under local anesthesia can be done if necessary