Prominent areas of salmon-colored conjunctival
thickening frequently occur-ring in the inferior fornix (Fig. 4.25) are often the first sign of lymphatic dis-ease. Identifying
the specific forms and degree of malignancy requires biopsy and histologic
examination. Lesions may range from benign lymphoid hyper-plasia to malignant
lymphomas that are moderately to highly malignant. Because lymphomas respond to
radiation, a combination of radiation therapy and chemotherapy is usually prescribed
according to the specific histologic findings.