[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
May 1979

Giant Papillary Conjunctivitis With Ocular Prostheses

Author Affiliations

From the Department of Ophthalmology and the Algernon B. Reese Laboratory of Ophthalmic Pathology, The Edward S. Harkness Eye Institute, New York.

Arch Ophthalmol. 1979;97(5):892-895. doi:10.1001/archopht.1979.01020010450011

• In seven patients who each had either a methyl methacrylate corneal shell, a postenucleation ocular prosthesis, or a keratoprosthesis, giant papillary conjunctivitis of the tarsus of the upper lids developed after prolonged wear. These cases expand the spectrum of disease that was initially described in wearers of hard and soft contact lenses. The papillary changes in prostheses wearers did not always produce symptoms and were not readily reversible. Basophils and mast cells characterized the inflammatory infiltrate, suggesting an antigen-antibody mechanism underlying the response. Increased production of epithelial mucin, in contrast to goblet cell mucin, may play a role in producing symptoms in this syndrome.