Chronic conjunctivitis is one of the most common reasons for referral to corneal and external disease specialists. While the diseases that fall in this category often do not seriously affect vision or cause serious morbidity, the chronicity of symptoms is frustrating to the patient and treating physician. Many of these diseases do not respond to commonly used topical antibiotics or steroids, artificial tears and other nonspecific treatments.
Precise diagnosis of chronic conjunctivitis is often difficult, yet critical to determine the most effective treatment. In this two-part Focal Points module, George A. Stern, MD, presents an algorithmic system that will lead to a specific diagnosis in at least 95% of cases. This module discusses follicular, giant papillary, membranous and cicatrizing forms of chronic conjunctivitis. Part 2 will discuss chronic papillary conjunctivitis.
Upon completion of this Focal Points module, you should be able to:
- Identify physical findings to enable one to follow an algorithm for the diagnosis of various forms of chronic conjunctivitis.
- Discuss the differential diagnosis of chronic follicular conjunctivitis and treatment of the various entities.
- Discuss the differential diagnosis of giant papillary conjunctivitis (GPC), and treatment of the various entities.
- Discuss the diagnosis and treatment of ligneous conjunctivitis.
- Discuss the differential diagnosis and treatment of various forms of chronic cicatrizing conjunctivitis.
Focal Points issues are practical, hands-on discussions of the clinical challenges you face daily. Each issue delivers high-quality, trusted ophthalmic information written and reviewed by leading experts.
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The American Academy of Ophthalmology designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Once you have completed this Focal Points issue, please visit CME Central to review or claim your CME.