A Patient from slums presents with grittiness in eyes. Everted eyelid shows?

Ans. (a) Trachoma* The image shows presence of multiple follicles on the palpebral conjunctiva.* Follicular trachoma is defined as the presence of 5 or more follicles at least 0.5 mm in diameter in the central part of the upper tarsal conjunctiva.* Follicular trachoma indicates active disease.* This form is most commonly found in children, with a peak prevalence in those aged 3-5 years. The prevalence rapidly decreases in school-aged children as they leave the pool of re-infection (i.e., their family childcare group).* Follicles are germinal centers that primarily consist of lymphocytes and monocytes.* The presence and involution of follicles at the limbus (corneoscleral border) give rise to the pathognomonic lesion of past active trachoma, Herbert Pits.