What presentation is commonly observed with giant papillary conjunctivitis?

Giant papillary conjunctivitis is characterized by a distinctive cobblestone appearance of the eyelids, particularly the upper eyelid. This presentation results from large, elevated papillae on the conjunctival surface, which can be seen during an eye examination. These papillae form in reaction to chronic irritation, often associated with contact lens wear, allergy, or foreign bodies. As the condition progresses, the appearance becomes more pronounced, leading to the characteristic cobblestone pattern that is visually identifiable.

While sticky discharge (often observed in other forms of conjunctivitis) and pain in the eye may occur in various types of conjunctival inflammation or irritations, they are not defining characteristics of giant papillary conjunctivitis. Additionally, a normal cornea is often present in this condition, as the primary issue lies in the conjunctiva rather than the corneal surface itself. Therefore, the cobblestone appearance is essential to recognize as a key feature of this type of conjunctivitis.