A Patient from slums presents with grittiness in eyes. Everted eyelid shows?
Ans. (a) Trachoma* The image shows presence of multiple follicles on the palpebral conjunctiva.* Follicular trachoma is defined as the presence of 5 or more follicles at least 0.5 mm in diameter in the central part of the upper tarsal conjunctiva.* Follicular trachoma indicates active disease.* This form is most commonly found in children, with a peak prevalence in those aged 3-5 years. The prevalence rapidly decreases in school-aged children as they leave the pool of re-infection (i.e., their family childcare group).* Follicles are germinal centers that primarily consist of lymphocytes and monocytes.* The presence and involution of follicles at the limbus (corneoscleral border) give rise to the pathognomonic lesion of past active trachoma, Herbert Pits.
Trachoma
Vernal conjunctivitis
Eales disease
Phlyctenular conjunctivitis
Inflammations of Conjunctiva - Allergic and Granulomatous