• Epidemiology
  1. Occurs annually in spring or early summer
  2. Affects adolescents
  3. Affects Males more often than females
  • Pathophysiology
  1. Allergic Conjunctiva response to light or heat
  • Symptoms
  1. Bilateral eye involvement
  2. Watery Eye Discharge
  3. Photophobia
  4. Severe eye itching
  • 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
  • Complications
  1. Corneal Scarring and Conjunctival Scarring
  • Course
  1. Recurrent for 5-10 years
  2. Spontaneously disappears after several years
  • Management
  1. Cold Compresses
  2. Topical Cromolyn Sodium (Opticrom)
  3. Ophthalmology referral for consideration of steroids