• Online Features  This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (3)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Salim I. Butrus, MD; Mark B. Abelson, MD
Boston

Arch Ophthalmol. 1984;102(12):1746-1748.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—In the December 1983 issue of the ARCHIVES, Tse et al¹ reported their success in treating four patients with severe palpebral vernal conjunctivitis and one with giant papillary conjunctivitis by conjunctival incision and mucous membrane grafting. The authors claimed that by totally excising the cobblestone papillae from the tarsal conjunctiva and grafting a replacement mucous membrane, they could improve patients' symptoms and prevent corneal changes by eliminating the mechanical action of the cobblestones.

Our current understanding of pathophysiologic factors and their effects on the ocular surface in vernal conjunctivitis leads us to question the importance of the mechanical relationship between giant papillae and the corneal changes in this disease.

Henriquez et al² reported the increase in degranulated mast cell populations in the conjunctiva of patients with vernal conjunctivitis. We have shown that the level of histamine, one of the most important mast cell products, is . . . [Full Text PDF of this Article]

CiteULike    Connotea    Delicious    Digg    Facebook    Reddit    Technorati    Twitter     What's this?