This is a recurrent allergic condition with a seasonal incidence that usually begins in the prepubertal years and lasts for 5-10 years. It is bilateral and is more common in boys than girls. It is often associated with asthma and eczema.
There is marked giant papillary proliferation of the upper tarsus which creates a distinctive cobblestone appearance. Fine papillae may be observable in the lower tarsus. The conjunctiva has a milky appearance. The eyes are usually chronically inflamed with a stingy mucous discharge. In a few cases, the lesions may spread onto the cornea.
Treatment is usually with topical sodium cromoglycate drops . This condition requires long-term treatment; short courses of medication are unhelpful..
Last reviewed 01/2018