Giant Papillary Conjunctivitis
- 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.
- Symptoms: itching, tearing, mucus secretion, foreign body sensation, and contact lens intolerance.
- Upper tarsal conjunctival hyperemia
- Enlarged papillae (ranged from < 0.3 - 2mm)
- Mucus discharge, lid swelling, and pseudoptosis
- 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.