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What could be the pathology?

12-year-old girl, known c/o Allergic conjunctivitis consulted me yesterday. She had taken several medicines and used eye drops. Now she has brownish discoloration on the conjunctiva. But the lesions are not uniform, but distributed in palpebral and bulbar conjunctiva, with lesion free areas in between. The borders are faint. Allergic irritation is more in the morning and evening. Also there is slight discoluration on both eyelids, but not so prominent. Please give your opinion about the pathology. Is it due to any pigmentation as a result of chronic allergic changes?

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Permalink Reply by Student on December 1, 2012 at 9:26pm

photos are not clear sir

Permalink Reply by Dr Muhammed Rafeeque on December 5, 2012 at 3:48pm

Next time, I will try to get more clear one!

Permalink Reply by Moses Raj on December 6, 2012 at 11:37am

i think this is viral conjuctivitis...acyclovir eydrops and oral medication wouls have tried for this patient..

Permalink Reply by Dr Muhammed Rafeeque on December 11, 2012 at 4:48pm

Thanks for the comments.

Permalink Reply by DR.MAHESH BABU on December 14, 2012 at 11:56pm

sir pics r not clear to make comment

Permalink Reply by Dr Muhammed Rafeeque on December 27, 2012 at 5:36pm

i will surely take some clear images next time when the patient comes.

Permalink Reply by Sumit Kumar on October 24, 2013 at 9:26pm

It could be a case of Atopic Dermatitis in which pigmentary changes can occur.

Also it could be due to the preservatives in the eye drops....

Permalink Reply by Dr Muhammed Rafeeque on March 22, 2014 at 12:05pm

thanks

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