The lower eyelid was pulled down and Whatman 41 filter paper (trimmed by about 1/4 to fit mouse eyes) was placed in the palpebral conjunctiva
of the lower fornix (at the junction between the middle and temporal thirds).
The diagnosis of VKC was made on the basis of the typical clinical history of severe itching with characteristic signs including giant papillae on the upper palpebral conjunctiva
, limbal infiltrates and eosinophilic concretions (Horner-Trantas dots).
Semicircular (Tenzel) flap for malignant melanoma involving the palpebral conjunctiva
and skin of an eyelid.
Miaou offered a new idea for noninvasive anemia detection in their paper titled "A Kalman Filtering and Nonlinear Penalty Regression Approach for Noninvasive Anemia Detection with Palpebral Conjunctiva
Images." In their anemia examining method, they considered a modified Kalman filter  along with a regression method with a penalty function.
Microscopic evaluation of the eyeball showed severe, chronic, lymphoplasmacellular inflammation of the bulbar conjunctiva, encroaching upon the adjacent palpebral conjunctiva
On detailed examination, a soft granular, whitish to pale roseate cauliflower like growth could be seen protruding from the palpebral conjunctiva
of left eye lid.
CM usually develops within the bulbar conjunctiva, rather than the forniceal or palpebral conjunctiva
, and can arise in areas of primary acquired melanosis, from a preexisting nevus or de novo .
Ocular examination showed congestion of bulbar and palpebral conjunctiva
. Bilateral intraocular pressures were within the normal limits and anterior segment examination showed bilateral subcapsular cataract.
*Conjunctival congestion assessment: Adopting CCLRU classification standard as the reference point, a photographic grading scale that has a generic (0–4) scale to score redness and roughness of the palpebral conjunctiva
was used [sup] *Tear film breakup time (BUT): After instillation of 2 [micro]l of 1% fluorescein preservative-free solution in the conjunctival sac with a micropipette, the patients were instructed to blink several times for a few seconds and BUT was measured 3 times, and then the mean value of measurements was calculated.
A commercial test is now available that measures the concentration of MMP-9 in tear fluids by collecting a small sample from the inferior palpebral conjunctiva
. The InflammaDry is the first commercially available test for use by clinicians that involves the analysis of tear fluid biomarkers in the diagnosis and management of DED.
Anterior segment evaluation by slit-lamp biomicroscopy revealed healthy lids, clear lashes and a quiet bulbar and palpebral conjunctiva
, a clear intact cornea OU.
Bulbar and palpebral conjunctiva
demonstrated multifocal moderate foci of edema and marked infiltrates of heterophils and few lymphocytes and macrophages (Fig 5).