By N. R. Galloway BA, MB, ChB, DO, FRCS, MD (auth.)
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Sample text
The diagnosis depends on the results of conjunctival culture and examination of scrapings and the association of a follicular conjunctivitis with cervicitis or urethritis. Trachoma. Although a doctor practising in Great Britain may rarely see a case of trachoma, and even then only in immigrants, it is the commonest cause of Fig. 3. Trachoma . Both corneae were severely involved . 56 Common Diseases of the Conjunctiva and Cornea blindness in the world and, furthermore, the disease affects about 150Jo of the world's population.
Cystic basal cell carcinoma which has extended to involve most of the upper lid . Common Diseases of the Eyelids 50 Squamous Cell Carcinoma. Tends to resemble basal cell carcinoma and biopsy is needed to differentiate. May also be mimicked by a benign self-healing lesion known as keratoacanthoma. Malignant Melanoma. A raised black-pigmented lesion. Highly malignant; rare. Lid Injuries Probably the commonest injury to the eyelids is due to the presence of a foreign body under the lid- a subtarsal foreign body.
The child tends to develop severely watering and itchy eyes in the early spring, which may interfere with schooling. Eversion of the upper lid reveals the raised papillae which have been likened to cobblestones. Occasionally the cornea is also involved initially by punctate keratitis but sometimes it may become vascularised. It is often necessary to treat these cases with local steroids, for example prednisolone drops applied if needed every 2 hours for a few days to enable the child to return to school, then reducing this dose as much as possible to a maintenance dose over the worst part of the season.