Kaposi's sarcoma

 Kaposi’s sarcoma

This is a prominent, light to dark red tumor in the conjunctival fornix or pro-ceeding from the palpebral conjunctiva. It consists of malignant spindle cells and nests of atypical endothelial cells. Today Kaposi’s sarcomas are seen most frequently as opportunistic disease in patients with AIDS (Acquired Immune Deficiency Syndrome). The ophthalmologist can make a tentative diagnosisof AIDS on the basis of typical clinical signs on the conjunctiva and order further diagnostic studies (Fig. 4.26). Recently there has been evidence that herpes virus (HHV-8) is involved in the development of Kaposi’s sarcoma.

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