Post trachomatous Concretions (PTCS)
By Dr.Nilesh Jaiswal
60 yr/F presented with c/o foreign body sensation in both eyes. Secretions could be expressed and cleaned by bud. .. opinion regarding diagnosis and m/m.
By Dr.Shaimaa Nawar Ptcs ..treated with excision then steroids ED and oint with artificial tear drops
By Dr.Tushar Patel Concretion with follicular reaction…excision with topical steroid with cover of antibiotic n lubricants
Concretion in the palpebral conjunctiva, is called conjunctival concretion, that is a (or a cluster) small, hard, yellowish-white calcified matter, superficially buried beneath the palpebral conjunctiva. Most of concretions in the eye form in the palpebral conjunctiva, which is a clear membrane to surround the inside of the eyelid. Less can be located in thecornea and retina.
Chronic conjunctivitis (e.g. trachoma) and aging factor are two causes of conjunctival concretion, which will make the conjunctiva cellular degeneration to produce an epithelial inclusion cyst, filled with epithelial cells and keratin debris. After calcification, the conjunctival cyst hardens and forms a conjunctival concretion. Congenital conjunctival concretion condition is also more common.