II. Epidemiology

  1. Occurs annually in spring or early summer
  2. Affects adolescents
  3. Affects Males more often than females

III. Pathophysiology

  1. Allergic Conjunctiva response to light or heat

IV. Symptoms

  1. Bilateral eye involvement
  2. Watery Eye Discharge
  3. Photophobia
  4. Severe eye itching

V. Signs

  1. Recurs in warm weather
  2. Conjunctival injection with mucoid secretion
  3. Severe Palpebral Conjunctivitis
    1. Hard flattened papillae with furrows
    2. Large "cobblestone" appearance

VI. Complications

  1. Corneal Scarring and Conjunctival Scarring

VII. Course

  1. Recurrent for 5-10 years
  2. Spontaneously disappears after several years

VIII. Management

  1. Cold Compresses
  2. Topical Cromolyn Sodium (Opticrom)
  3. Ophthalmology referral for consideration of steroids

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