Patient presented with itchiness and watering of eyes. Spot diagnosis #learningwithvisuals

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Giant papillary conjunctivitis Differential diagnosis Infectious conjunctivitis Blepharitis Dry Eyes Syndrome Toxic conjunctivitis Ocular rosacea Keratitis Episcleritis/scleritis Angle Closure glaucoma Phlyctenular conjunctivitis

Giant papillary conjunctivitis —-usually ocurrs in contact lens wearer especially soft CL ,people do not use Cl can also have but very rarely Is due to allergy to CL or to chemical used to clean them and astma or hay fever or other allergy patient using CL are even more prone Deposit of protien or othe sustancec on CL Treatment avoid wearing CL or limit time of CL use Avoid solution with preservative Change the type of CL Presevative free lubricant Low dose steroids Topical cyclosporine

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Toxic Conjunctivitis... D/D..Dry eye syndrome..Occular Rosacea

Most probably this is giant pupillary conjunctivitis following contact lens wear. In palpebral type of VKC papillae are usually not so large

D.D : Giant papillary conjunctivitis. Vernal keratoconjunctivitis .

Cobblestone appearance of JPC

Cobble stone appearance

Giant papillary conjunctivitis

Cobble stone pattern papillae Severe gaint papillary conjunctivitis

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