Conjunctival benign reactive lymphoid hyperplasia associated with myopic scleral thinning


Correspondence: Dr Marc Rofail, City Eye Centre, Level 10, 135 Wickham Terrace, Brisbane, QLD 4000, Australia. Email:


Known causes of conjunctival salmon patches include lymphoma, amyloidosis, sarcoidosis, leukaemia and benign reactive lymphoid hyperplasia. The aetiology of benign reactive lymphoid hyperplasia is thought to be a localized reactive change induced by an irritative or antigenic stimulus. The case of benign reactive lymphoid hyperplasia reported herein occurred in a myopic patient with extremely thin sclera. The authors’ hypothesis is that choroidal antigens are able to perfuse through thin sclera and act as chronic irritants to the overlying conjunctiva resulting in a lymphoid response and subsequent salmon patch formation.