Focal Points 2012 Module: Chronic Conjunctivitis, Part 2

This Focal Points issue is Part 2 of a two-part Focal Points series on chronic conjunctivitis. (Part 1 is contained in Module 11, 2012.)

Chronic conjunctivitis is one of the most common reasons for referral to corneal and external disease specialists. Precise diagnosis of chronic conjunctivitis is often difficult, yet critical to determine the most effective treatment. In Part 1 of the series, George A. Stern, MD, presented an algorithmic system that leads to a specific diagnosis in at least 95% of cases.

In Part 2, Dr. Stern discusses the various entities included in the category of chronic papillary conjunctivitis. Once a patient has been classified as having a chronic conjunctivitis that is morphologically characterized by a papillary response, the next step in the algorithm is to consider the anatomic localization of the disease process.

Upon the completion of this Focal Points issue, the reader should be able to:

• Discuss the differential diagnosis and treatment of various causes of unilateral chronic papillary conjunctivitis, including lacrimal drainage infections, the giant fornix syndrome, masquerade syndrome, and factitious conjunctivitis.
• Discuss the differential diagnosis and treatment of various causes of chronic papillary conjunctivitis primarily affecting the upper tarsal conjunctiva, including the floppy eyelid syndrome, superior limbic keratoconjunctivitis, and occult foreign bodies.
• Discuss the differential diagnosis and treatment of various causes of chronic bilateral papillary conjunctivitis, including blepharoconjunctivitis, keratoconjunctivitis sicca, and conjunctivochalasis.

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. Subscribe to Focal Points and receive 12 modules a year in the print or interactive online format.

CME Credit
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 module, please visit CME Central to review or claim your CME. After purchasing this product, you may access it at www.aao.org/myonlineproducts.