Hard and flat nipples

Due to the clinical manifestations of catarrhal conjunctivitis in the spring, congestion of the eyelid is very dramatic at the beginning, and then many hard and flat nipples of different sizes are formed on the upper eyelid conjunctiva, which are covered with the eyelid conjunctiva and appear to paved Of cobblestone. The fissures between the nipples were light blue, and the surface of the nipples showed a milky cloudiness. There is not much secretion, it is very sticky, and it is pulled into filaments. For smear examination, it can be seen that eosinophils increase. If there is a lesion on the lower eyelid conjunctiva, its nipples are small and few, which is not as significant as those on the upper eyelid conjunctiva. Vernal conjunctivitis in spring is an allergic disease with strong seasonality and often invades both eyes. Symptoms occur when spring flowers bloom, and by the end of autumn the symptoms disappear. Relapses occur every year, and those who are mild will not relapse after 3 to 4 years, and those who are severe may relapse continuously for more than 10 years. The disease is characterized by itchy eyes, large and flat nipples on the eyelid and conjunctiva, and conjunctival gel-like hyperplasia near the limbus, with a large amount of eosinophils in the secretion.

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