General
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• Acute or chronic exposure of arsenic by inhalation or contaminated drinking water causing papillary conjunctivitis (J Expo Sci Environ Epidemiol 2007;17:215)

Clinical features
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• Forniceal and palpebral congestion of papillary type, ocular irritation, eyelids dermatitis, photophobia, madarosis (loss of eyelashes) (patient.co.uk)
• Corneal necrosis

Treatment
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• Elimination of exposure; systemic chelating agents (dimercaprol) for arsenic removal from body

Clinical images
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Patient with hyper- and hypopigmentation in Bangladesh

Micro description
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• Papillary conjunctivitis without inclusions (J Ocul Pharmacol Ther 2006;22:208)

Additional references
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• Indian J Med Res 2009;129:75, Agency for Toxic Substances and Disease Registry

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