A 35-year-old woman was referred to the New England Eye Center for a second opinion regarding 4 months of foreign body sensation, discharge and mild blurred vision in the left eye. She had been evaluated by several outside ophthalmologists who prescribed topical antibiotics for presumed bacterial conjunctivitis, but the treatment did not improve her symptoms. The patient’s referring ophthalmologist diagnosed her with giant papillary conjunctivitis and trialed 2 weeks of prednisolone and ketotifen, which was ineffective.
Before this episode, the patient had no ocular history and had never
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