Prevalence of papillary changes and folliculosis of the palpebral conjunctiva in asymptomatic Chinese children

Chan, Ka Yin, Cho, Pauline, Chan, Ying Yee, Cheung, Sin Wan, & Swann, Peter G. (2013) Prevalence of papillary changes and folliculosis of the palpebral conjunctiva in asymptomatic Chinese children. Contact Lens and Anterior Eye, 36(2), pp. 62-65.

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To determine the prevalence of papillary changes of the upper palpebral conjunctiva and folliculosis of the lower palpebral conjunctiva in Chinese children with no history of contact lens wear.


Ninety-nine subjects (aged 6–15 years old) who were interested in a myopia control study were screened for papillary changes and folliculosis of the palpebral conjunctiva. Photodocumentation was performed under white and blue light (after the application of fluorescein) with a yellow filter and the photographs were graded by a group of practitioners according to a pre-set grading scale. Analysis was performed with the subjects divided into groups according to gender and age.


More than 48% of the subjects had clinically significant (≥Grade 3) papillary changes in the upper palpebral conjunctiva. The prevalence of significant folliculosis in the lower lid was about 33%. The prevalence of significant papillary changes and folliculosis were similar between genders. No differences were observed between younger (age ≤ 10 years old) and older (age > 10 years old) in papillary changes but younger subjects showed a higher prevalence of folliculosis.


The prevalences of clinically significant papillary changes and folliculosis of unknown aetiology are high in Chinese children.

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ID Code: 55931
Item Type: Journal Article
Refereed: Yes
Keywords: Folliculosis, Papillary changes, Children, Contact lens wear
DOI: 10.1016/j.clae.2012.10.068
ISSN: 1367-0484
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > OPTOMETRY AND OPHTHALMOLOGY (111300)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Optometry & Vision Science
Copyright Owner: Copyright 2013 Elsevier
Copyright Statement: This is the author’s version of a work that was accepted for publication in Contact Lens and Anterior Eye. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Contact Lens and Anterior Eye, [VOL 36, ISSUE 2, (2013)] DOI: 10.1016/j.clae.2012.10.068
Deposited On: 20 Dec 2012 05:31
Last Modified: 13 Apr 2013 23:25

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