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Table 3 IVCM features of conjunctival neoplasms

From: A review of the application of in-vivo confocal microscopy on conjunctival diseases

Authors

Type of neoplasms

IVCM findings

Cinotti et al. [81]

Conjunctival nevi

Nests or diffuse accumulation of medium-sized hyperreflective cells; multilayered epithelioid cysts within conjunctival stroma

Cai et al. [82]

Nevus on the caruncle conjunctiva

Cells with clear borders, hyperreflective periphery, and hyporeflective center, grouped in nests with irregular borders; vessels surrounding the nevus

Messmer et al. [83]

PAM without atypia

Hyperreflective granules in 67% of lesions; small (< 20 μm) dendritic cells restricted to the basal epithelium in 100% of lesions

 

PAM with atypia

Large (> 20 μm) dendritic cells networks; hyperreflective cells, granules, patches throughout the epithelium

Ronin et al. [84]

Conjunctival malignant melanomas

Large atypical hyperreflective cells, prominent nuclei

Pichierri et al. [95]

Conjunctival lymphomas

Polygonal cells without hyperreflective borders or visible nuclei; small hyperreflective cells within hyporeflective spaces or between stromal collagen fibers

Nguena et al. [93]

Ocular surface squamous neoplasia

Hyperreflective cells of variable size; prominent basal cell nuclei; amorphous hyperreflective features (possibly keratinized material)

Lam et al. [96]

Conjunctival neuroma

Large, thick, disorganized nerve bundles with prominent loops and branching; hyporeflective walls of the neuroma; numerous individual hyperreflective elementary nerves within the neuroma

  1. IVCM = in-vivo confocal microscopy; PAM = primary acquired melanosis