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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Ontology: Conjunctivitis, Vernal (C0009773)

Concepts Disease or Syndrome (T047)
MSH D003233
ICD9 372.13
ICD10 H10.44
SnomedCT 193867003, 20212001, 193774003, 318316003
English Conjunctivitides, Vernal, Vernal Conjunctivitides, Vernal conjunctivitis, Spring conjunctivitis, Spring ophthalmia, Vernal conjunctivitis (disorder), ophthalmia; spring, spring; ophthalmia, Vernal conjunctivitis (disorder) [Ambiguous], Vernal Conjunctivitis, Conjunctivitis, Vernal
Dutch voorjaarsconjunctivitis, oftalmie; voorjaar, voorjaar; oftalmie, Conjunctivitis vernalis
German Fruehjahrskonjunktivitis, Konjunktivitis, Frühjahrs-
Portuguese Conjuntivite vernal, Conjuntivite Primaveril
Spanish Conjuntivitis vernal, Conjuntivitis Primaveral, oftalmia de primavera, oftalmía de primavera, oftalmía primaveral, conjuntivitis vernal (trastorno), conjuntivitis vernal, conjuntivitis primaveral (trastorno), conjuntivitis primaveral, conjuntivitis vernal (concepto no activo)
Japanese 春季カタル, シュンキカタル
French Conjonctivite printanière, Conjonctivite vernale
Czech Vernální konjunktivitida, jarní katar, konjunktivitida vernální
Hungarian Conjunctivitis vernalis
Italian Congiuntivite primaverile
Norwegian Konjunktivitt, vernal