{"id":38,"url":"https://cclm.media-doc.io/conditions/38/","name":"Contact Lens Papillary Conjunctivitis","category":"Conjunctiva","detail":"<p>CLPC, Giant Papillary Conjunctivitis (GPC), CLAPC, CLIPC, lid roughness</p>\n\n<h2>Symptoms</h2>\n\n<ul>\n\t<li>Intense Itching</li>\n\t<li>Lens awareness</li>\n\t<li>Blurred vision</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Papillae, &gt;1 mm diameter in GPC</li>\n\t<li>Hyperemia of the palpebral conjunctiva</li>\n\t<li>Increased lens movement</li>\n\t<li>Mucus discharge</li>\n\t<li>Protein deposits on lens surface</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Allergic, mechanical, or combination reaction of superior conjunctival tarsal plate</li>\n\t<li>More common in soft than GP lens wear</li>\n\t<li>Can be related to solution sensitivity to preservatives</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Infrequent with disposable/frequently replaced lens materials</li>\n\t<li>More common with stiffer lens materials</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li>Vernal keratoconjunctivitis</li>\n\t<li>Normal appearance of a few papillae around edge of tarsal plate (junctional conjunctiva)</li>\n\t<li>Viral or follicular conjunctivitis</li>\n\t<li>See: <a href=\"/condition/64\">Palpebral Conjunctival Inflammation &ndash; Differential Diagnosis</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Cease lens wear until inflammation subsides</li>\n\t<li>Refit with DD or GP lenses or alternative soft lens materials</li>\n\t<li>Reduce wearing time</li>\n\t<li>Antihistamine + mast cell stabilizer combination or steroid therapy</li>\n</ul>","images":[{"name":"Contact Lens Papillary Conjunctivitis","file":"https://cclm-static.s3.amazonaws.com/images/clpc.jpg"},{"name":"Contact Lens Papillary Conjunctivitis","file":"https://cclm-static.s3.amazonaws.com/images/gpc.jpg"}],"type":1,"videos":[{"name":"Contact Lens Papillary Conjunctivitis (CLPC) - Severe (White Light)","videoSrc":"255944692"},{"name":"Contact Lens Papillary Conjunctivitis (CLPC) - Sodium Fluorescein Stain","videoSrc":"255945089"}],"wear":true,"ceaseWear":false,"changeLens":true,"changeSolutions":false,"changeCare":false,"counseling":false,"dd":true,"dw":true,"gp":false,"replace":false,"review":false,"rewettingDrops":false,"rx":true,"SiHy":false,"toric":false,"tags":[]}