Morning Misery
Vernal Conjunctivitis comes under the spectrum of allergic conjunctivitis affecting young males who present with severe itching, photophobia and a characteristic ropy discharge.
Palpebral: Flat topped papillae in the upper tarsal conjunctiva arranged in a cobblestone pattern (as seen in the picture)
Bulbar: Dusky red triangular congestion of bulbar conjunctiva in palpebral area, Thickening and opacification of the limbal conjunctiva with gelatinous limbal papillae
Mixed : A combination of palpebral and bulbar forms
*Buckley coined the term “morning misery” which described the active disease state of patients with severe discomfort, blepharospasm and mucous discharge leaving them incapacitated upon awakening.
Image from Rajan Eye Care Hospital
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