Eye
Conjunctiva
Chronic Conjunctivitis

Author: Deepali Jain, M.D. (see Authors page)

Revised: 24 April 2018, last major update October 2014

Copyright: (c) 2004-2018, PathologyOutlines.com, Inc.

PubMed Search: Chronic Conjunctivitis [title]

Cite this page: Jain, D. Conjunctiva: chronic conjunctivitis. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/eyechronicconj.html. Accessed November 15th, 2018.
Pathophysiology
  • Conjunctivitis that persists for 4+ weeks
Etiology
Clinical features
  • Insidious onset; slow progression of ocular discomfort, conjunctival injection, discharge
Diagnosis
Case reports
Treatment
  • Antibiotics, artificial tears, topical medications
Clinical images

Images hosted on other servers:
Missing Image

Cause unspecified

Microscopic (histologic) description
  • Two basic Patterns:
    • Chronic follicular conjunctivitis (associated with cosmetics, infectious mononucleosis, molluscum contagiosum, moraxella, phthiriasis palpebrarum, psittacosis, topical medications, trachoma)
    • Chronic papillary conjunctivitis (tarsal conjunctiva)
  • Numerous goblet cells and papillary folds
  • Chronic inflammatory cells (lymphoid follicles and plasma cells)
  • Isolated islands of epithelium may form retention cysts that calcify
  • Late changes are epithelial atrophy, keratinization and stromal scarring
  • Note that lymphocytes are common within normal conjunctiva
Cytology description
Molecular / cytogenetics description