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.
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