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The conjunctival inflammation is called "active trachoma" and is usually seen in children, especially those in preschool. It is characterized by white lumps in the undersurface of the upper eyelid (conjunctival follicles or lymphoid germinal centers) and by nonspecific inflammation and thickening, often associated with papillae.
Palpebral form- Usually upper tarsal conjunctiva of both the eyes is involved. Typical lesion is characterized by the presence of hard, flat-topped papillae arranged in cobblestone or pavement stone fashion. In severe cases papillae undergo hypertrophy to produce cauliflower-like excrescences of 'giant papillae'.
Cats have three eyelids. The cat's third eyelid is known as the nictitating membrane. It is located in the inner corner of the eye, which is also covered by conjunctiva. In healthy cats, the conjunctiva of the eyelids is not readily visible and has a pale, pink color.
Meibomian gland dysfunction is more often seen in women and is regarded as the main cause of dry eye disease. [ 14 ] [ 15 ] Factors that contribute to meibomian gland dysfunction can include things such as a person's age and/or hormones, [ 16 ] or severe infestation of Demodex brevis mite.
Palpebral or tarsal conjunctiva Lines the eyelids Bulbar or ocular conjunctiva Covers the eyeball, over the anterior sclera: This region of the conjunctiva is tightly bound to the underlying sclera by Tenon's capsule and moves with the eyeball movements. The average thickness of the bulbar conjunctival membrane is 33 microns.
The lateral angles are attached to the zygomatic bone by the lateral palpebral raphe. The medial angles of the two plates end at the lacrimal lake, and are attached to the frontal process of the maxilla by the medial palpebral ligament). The sulcus subtarsalis is a groove in the inner surface of each eyelid.
The conjunctiva is a tissue that lines the inside of the eyelids and covers the sclera. It is composed of unkeratinized, stratified squamous epithelium with goblet cells, and stratified columnar epithelium. The conjunctiva is basically transparent, and the white colour we see is actually sclera.
The plica semilunaris is a small fold of bulbar conjunctiva on the medial canthus of the eye.It functions during movement of the eye, to help maintain tear drainage via the lacrimal lake, and to permit greater rotation of the globe, for without the plica the conjunctiva would attach directly to the eyeball, restricting movement. [1]