Pls Tell the different diagnosis and treatment of the above photo

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Frst pic shows nodular episcleritis n lt one luks like limbal dermoid. cud b phlycten also.second row pictures shows temporal pterygium n last one shows conjunctivalisation of cornea r sclerocornea. seen in chronic vkc r allergic cases r chronic episcleritis. dd fr dese conditions like in d interpalpebral region cud b double headed pterygium r phlycten r pinguecula r nodular scleritis r episcleritis r limbal dermoid r Ossn. clinically v shud evaluate n proceed

Upper Lt -- ossn Upper rt -- limbal dermoid cyst . Middle Lt -- pterygium. Middle rt --phlyctenular conjunctivitis. Lower Lt -- ossn , squamous cell carcinoma. Lower rt -- ossn , early pterygium.

Pterigium, nodular episcleritis, advised surgery. For conjunctivitis antibiotics & antibiotic eye drops.

LIMBAL DERMIOD IF NVOLVES VISUAL AXIS TO THRETEN VISIN TH SURGICAL TRAMENT WHICH IS BOH VISUAL AND COSMOTIC LAMELLAR KERATOPLASTY SEM CELL GRAFT AMIONOTIC MEMB GRAFT AUTOGRAFT SMILE CORNEAL LENTICULE TATOONG AND FIBRIN GLUE

dd s for nodule at limbus are pterygium, pingecula, (degenerative )congenital limbal dermoid, inflammatory foreign body granuloma, phlycten nodular episcleritis, nodular scleritis

treatment for pkc treatment is topical steroids ,topical antibiotics and topical cycloplegics then investigate for tb and start att if possible, treat for parasites too anti helminthic too for limbal dermoid excision with amniotic membrane patch grafting ,pterygium excision with autologous conjuctival transplantation ,pingecula just

observation will do, lscd conjunctivalisation excision with autologous serum and treatment of underlying causes with vigorous lubrication with preservative free artificial tear drops ,nodular episcleritis mild topical nsaids ,moderate topical steroids if not responding oral nsaids like indomethacin or fluriprofen 100mg tds if not responding oral steroids might require

1st lt s phlyctenular keratoconjunctivitis, left limbal dermoid 2nd left progressive pterygium, left side pinguecula

pterygium

3rd lt conjunctivalisation of cornea which occurs with lscd 3rd rt nodular episcleritis