What Is Follicular Conjunctivitis?

The conjunctiva is like mucosal adenoid tissue in other parts, and it is easy to respond to any stimulus, causing lymphocyte proliferation and follicle formation. Follicular conjunctivitis is characterized by conjunctival hyperemia and the formation of a large number of follicles. There are different types in the clinic. Acute follicular conjunctivitis is a type of acute catarrhal conjunctivitis. Except for having special follicles, other symptoms are the same as acute catarrhal conjunctivitis.

Follicular conjunctivitis

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The conjunctiva is like mucous adenoid tissue in other parts, and it is easy to respond to any stimulus, causing

Mainly found in viruses (simple

Sudden onset, multiple simultaneous violations of both eyes, and sometimes onset. There is a burning sensation in the eyes, a foreign body sensation, heavy eyelids, and a large amount of mucopurulent secretions. In some cases, there are preauricular swellings, tenderness is not obvious, and the secretions are more infectious. Except for acute catarrhal conjunctivitis such as congestion and edema, ocular lesions also have follicle formation. Follicles vary in size, are round or irregular, opaque, raised on the conjunctival surface, and are generally large in number and can be fused and arranged in rows.

1. Those who are infected with microorganisms should be treated with anti-infective drugs. Due to atropine and other drugs, medication should be stopped immediately, topical wet compress with 3% boric acid water, eye drops such as cortisone, flumetasone and so on.

2. Beal's syndrome (the syndrome of Beal), also known as Beal-type acute follicular conjunctivitis, was first proposed by Beal's (1907). It is characterized by acute onset, mild symptoms, enlarged ear glands, and rapid and complete absorption of follicles. This disease mostly affects adults, and it develops in one eye first, and in another eye within 2-5 days. Eyelids are congested, edema, and the lower eyelid is more pronounced. The bulbar conjunctiva has mild peripheral congestion, and the fornix congestion is heavier. Follicles are formed. The number of follicles in the lower fornix is larger and larger than that in the upper fornix. The follicles and conjunctiva are smaller and fewer. There are also follicles in the lacrimal gland. Few secretions, serous cellulose, often form pseudomembrane on the surface of the eyelid conjunctiva. The secretion contains a large number of monocytes. The lesion reached its peak in 3-6 days and was completely absorbed within 2-3 weeks without scarring. Conjunctivitis is accompanied by painless enlargement of the preauricular glands. Some cases have corneal damage and iritis. Sometimes fever and general discomfort are caused by respiratory infections. The disease may be a viral infection, which is clinically similar to herpes simplex virus and adenovirus infections. Antiviral drugs, such as herpes jing, morpholinobihydrochloride, and cytarabine, can be used in drops, and a broad-spectrum antibiotic is used to prevent secondary infections.

3. Parinaud's oculo-glandular syndrome of parinaud This disease is very rare. It was first described by Parinaud's in 1889 and is believed to be caused by animal infection. It is characterized by monocular onset, acute follicular conjunctivitis, and enlargement of the auricular lymph and parotid glands. The main clinical symptoms are swollen and hard eyelids, thick and dense follicles in the conjunctiva and bulbar conjunctiva, which are initially translucent, and then cloudy, forming a light gray ulcer. The secretions are mucocellulose. Early in the ear there are redness and swelling of the lymph nodes and costal glands that can extend to the neck. There are irregular body temperature rises. Conjunctival lesions resolve on their own in about 4-5 weeks. But lymphadenopathy develops into purulent inflammation, which can persist for months.

4. Chronic follicular conjunctivitis is chronic catarrhal infectious inflammation. It is characterized by follicles occurring in the fornix, with a slow course and no scarring after healing. The disease is more common in children and young people, especially in children with adenopathy. Rieger believes that granulobacteria are the pathogen of this disease. The subjective symptoms are mild, the secretion is small, the conjunctiva is slightly congested, and the follicles are small round or oval. There is no corneal comorbidity, and the preauricular glands are not enlarged. The course of the disease was slow, the follicles became smaller after a few months, and the conjunctiva returned to normal after 1-2 years without scarring. Eye drops such as zinc sulfate and chloramphenicol can be used for treatment, and no follicular squeeze is required.

5. Conjuntival folliculosis (conjuntival folliculosis) is characterized by the formation of follicles in the inferior fornix, non-fusion, a slow and long course of disease, no conjunctival inflammation. The disease is common in children, and patients often have adenopathy and glandular hyperplasia. It is related to malnutrition, metabolic disorders, poor living environment sanitation, and anemia. Ocular lesions occurred in the conjunctiva of the inferior fornix, and the patient did not experience any discomfort. The conjunctival surface has small round transparent follicles, about the size of a pin and a cap. Conjunctiva between follicles was normal without inflammation. There are no inclusions in the epithelial cells of the conjunctival scrape.

The prognosis is good, but the course of the disease is long, often lasting for several months or disappearing after menstruation. The conjunctiva does not leave scars after the follicles have subsided. Generally, no treatment is needed. If you feel uncomfortable, you can treat it symptomatically.