- Clinical features:
- May present as an acute or chronic disease
- Symptoms: hyperemia, chemosis, watery discharge, photophobia
and periorbital pain.
- Signs:
- The follicles appear as gray-white, round to oval elevations
which measuring between 0.5 to 1.5 mm in diameter
- Smaller follicles may produce a slightly irregular and
velvety appearance
- Follicles can be seen in the inferior and superior tarsal
conjunctiva, and less often, on bulbar or limbal conjunctiva
- Acute follicular conjunctivitis is usually associated with viral
(epidemic keratoconjunctivitis, Herpes zoster keratoconjunctivitis,
infectious mononucleosis, Epstein-Barr virus infection) or chlamydial
infections (Inclusion conjunctivitis), while chronic disease may be
caused by chronic chlamydial infection (trachoma, lymphogranuloma
venereum) or as a toxic or reactive inflammaytroy response to topical
medications and molluscum contagiosum infection.
- Treatment is directed to the causative agents.
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