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May 1987

Giant Papillary Conjunctivitis Associated With an Extruded Scleral Buckle

Author Affiliations

Los Angeles

Arch Ophthalmol. 1987;105(5):619. doi:10.1001/archopht.1987.01060050037027

To the Editor.  —Giant papillary conjunctivitis (GPC) is an inflammatory reaction involving the palpebral conjunctiva of the superior eyelid, characterized by large elevated papillae. Classically, GPC is associated with ocular pruritus and mucoid discharge.Giant papillary conjunctivitis was first reported in association with contact lens wear.1 Additionally, it has been associated with ocular prostheses2 and exposed sutures.3 We report herein the development of GPC in a patient who had an extruding scleral buckle.The patient was a 61-year-old man who was an insulin-dependent diabetic. He originally presented to the Los Angeles County/University of Southern California Medical Center with an episode of infectious endocarditis and subsequently developed endogenous endophthalmitis in the left eye. The endophthalmitis was treated with pars plana vitrectomy and lensectomy, along with intravenous and intravitreal antibiotics.Five months postoperatively, the patient presented to the general ophthalmology clinic with complaints of foreign-body sensation, ocular pruritus,