University of Iowa Health Care

Ophthalmology and Visual Sciences

EyeRounds Online Atlas of Ophthalmology

Contributor: Jordan M. Graff, MD, University of Iowa

Category: External Disease

Giant Papillary Conjunctivitis

Giant Papillary Conjunctivitis

Giant papillae are seen on the tarsal surface of the inverted superior lid. This patient recently underwent enucleation. Since being fit for her new prosthesis a few months ago, the patient has been noticing tearing and mucous discharge.
Hyperemia and papillary hypertrophy (especially on the superior tarsus) are classic signs. Mucous strands are seen both in the tear film and between the giant papillae.

In addition to prosthetic eyes, other foreign bodies may irritate the conjunctiva (including contact lenses, extruding scleral buckle elements, exposed sutures or filters) and can cause GPC.

Giant Papillary Conjunctivitis

External view of the same patient. Note that the remaining conjunctival bed is relatively quite compared to the inflamed and irritated superior palpebral surface in Figure 1.

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last updated: 02-08-2008
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