Conjunctival signs
A. large fornicial follicles B. Superior tarsal follicles
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Congestion of upper tarsal and forniceal conjunctiva.
Conjunctival follicles - boiled sago grain like follicles.
characteristic feature is necrosis n leber cells(large multinucleated cells)(d/f follicular conjunctivitis).
Conjunctival follicle in trachoma in children shows Lymphocyte.
Commonly present on upper tarsal and forniceal conjunctiva.
Follicles on bulbar conjunctiva is pathognomonic.
Papillary hyperplasia(velvety appearance to tarsal conjunctiva).
Conjunctival scarring/Arlt’s line - linear scar in the sulcus subtarsalis.
Concretion - d/t dead epithelial cells,mucus in Glands of Henle.
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Corneal Signs
C.peripheral corneal infiltrates D.superior pannus
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Superficial keratitis.
Herbert follicles in limbal area.
Herbert pits - healed herbert follicles.
Pannus - infiltration with vascularization.
Cicatricial pannus in trachoma known as Pannus ciccus.
Corneal ulcer
Corneal opacity
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Complications
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Lids - entropion,tylosis,ptosis,madarosis,ankyloblepharon.
Conjunctival - pseudocyst,xerosis,symblepharon.
Corneal - ectasia,xerosis.
Blindness
Chronic dacryocystitis,chronic dacryoadenitis.
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Actual cause of blindness is
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corneal opacity and scarring,secondary to eyelid scarring.
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