II. Epidemiology
- Occurs annually in spring or early summer
- Affects adolescents
- Affects Males more often than females
III. Pathophysiology
- Allergic Conjunctiva response to light or heat
IV. Symptoms
- Bilateral eye involvement
- Watery Eye Discharge
- Photophobia
- Severe eye itching
V. Signs
- Recurs in warm weather
- Conjunctival injection with mucoid secretion
- Severe Palpebral Conjunctivitis
- Hard flattened papillae with furrows
- Large "cobblestone" appearance
VI. Complications
- Corneal Scarring and Conjunctival Scarring
VII. Course
- Recurrent for 5-10 years
- Spontaneously disappears after several years
VIII. Management
- Cold Compresses
- Topical Cromolyn Sodium (Opticrom)
- Ophthalmology referral for consideration of steroids