Salzmann's Nodules

• May develop from previous ocular inflammatory conditions such as following corneal surgery, interstitial keratitis, trachoma and contact lens wear.

Clinical Features

• Symptoms: usually asymptomatic, but may cause decreased vision if located centrally
• Signs:
  • Noninflammatory
  • Superficial, elevated multiple bluish-white nodules
  • Located at corneal mid-periphery
  • May increase in number, elevation, and size

Management

• Observation
• Simple excision of the lesion
• Excimer laser phototherapeutic keratectomy