- Reversible chronic inflammatory condition affecting the upper tarsal
conjunctiva; most commonly associated with soft contact lens wear.
- Other causes: protruding suture ends and ocular prostheses.
- Clinical features:
- Symptoms: itching, tearing, mucus secretion, foreign body sensation,
and contact lens intolerance.
- Signs:
- Upper tarsal conjunctival hyperemia
- Enlarged papillae (ranged from < 0.3 - 2mm)
- Mucus discharge, lid swelling and pseudoptosis
- Management:
- Remove offending agents such as stopping contact lens wear,
changing lens solutions or suture removal.
- Encourage the patients to replace lenses frequently, use preservative-free
lens solution, and increase lens hygiene.
- Medical treatment with mast cell stabilizers (i.e. sodium cromolyn
eyedrops) and / or corticosteroids may be required in more advanced
cases.
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