(1)B:. (2)A: Maximal localization of injection is perilimbal. (3)E: This is a case of severe purulent conjunctivitis (PC).

2ry glaucoma has no relation to PC. (4)D: This is a case of ophthalmia neonatorum. Acanthemeba has no relation to such condition. All other causes are correct. (5)F: Chlamydiae are commonest & N.gonorrheae are the rarest (but one of the most serious) causes for ophthalmia neonatorum. (6)C: This is the typical ciliary injection caused by the corneal ulcer and 2ry iritis. (7)C: The patient has bilateral nasal & temporal pinguecuale. (8)E. (9)A: . (10)A. (11)E: This is a typical example of limbal phlycten. Limbal location is the commonest & it is considered an allergic reaction to an edogenous agents such as staph. aureus toxins. Dust and fumes are aggravating factors for spring catarrh.

(12)B: This patient has severe spring catarrh. Nyctalopia has no relation to spring catarrh. (13)B: This man has a big pterygium that reached the pupil and is expected to markedly affect the visual acuity both mechanically & by inducing high astigmatism. (14)B: Tranta spots are degenerated eosinophils found in bulbar spring catarrh. (15)D: This man has severe mucopurulent conjunctivitis that may be complicated by a bacterial corneal ulcer. (16)C: (17)A: This is a typical conjunctival phlycten which represents an allergy to an endogenous agent. Steroid responsiveness is typical. Allergy to exogenous agent occurs in spring catarrh. It may be multiple. Pingueculae & limbal spring catarrh are important differential diagnostic points. Corneal ulceration may occur in corneal phlyctens. (18)E: This is the typical appearance of ciliary injection. Corneal epithelial defects, acute IOP elevations, as well as anterior uveitis are well-known causes of ciliary injection. Mucopurulent conjunctivitis causes conjunctival injection. (19)C: This is the typical conjunctival injection seen in cases of conjunctivitis. Acute iridocyclitis, acute congestive glaucoma, hypopyon & fungal corneal ulcers cause ciliary injection.

(20)E: Pingueculae, phlyctens, limbal spring catarrh & Bitot` spots enter in the differential diagnosis. Arcus senilis has a different morphology. (21)E: This is the typical morphology & location of pingueculae which is a form of hyaline conjunctival degeneration. (22)F: To decrease pterygium recurrence many modalities have been advocated. Bare sclera technique gives the corneal epithelium the chance to heal before the conjunctival epithelium. Beta rays cause endarteritis obliterans of the fine episcleral vessels that may cause pterygium recurrence. Conjunctival autograft acts as a barrier hindering pterygium recurrence. Intraoperative mitomycin-c or 5-fluorouracil are helpful adjuvants (5fluorouracil may be also applied postoperatively). Also argon laser photocoagulation to the bed of the excised pterygium is helpful in decreasing pterygium recurrence. (23)A: Notice the typical conjunctival injection. (24)B: (25)B: This lady has a typical symblepharon. Symblepharon in this location limits upward movement of this eye falling of the image on noncorresponding retinal points on both eyes binocular diplopia. On looking down, no limitation of extraocular motility occurs no diplopia.

(26)H: This man has extensive symblepharon disfigurement. The pupil is covered by the symblepharon diminution of vision. If the visual axis was clear, he would have suffered from binocular diplopia on looking down. (27)B. (28)A. (29)C: This is another typical example of Bitot spot of xerophthalmia. (30)A: This baby has ophthalmia neonatorum. Nisseria gonorrheae can penetrate the intact corneal epithelium. (31)E: This is the typical appearance of mucopurulent conjunctivitis. Conjunctival injection is the rule in such cases. Ciliary injection is typical in iridocyclitis, corneal ulcers & acute glaucomas. (32)E: This is a typical example of conjunctival injection encountered in cases of conjunctivitis. The injection is easily abolished by sympathomimetics e.g. phenylephrine or adrenalin. Acute iridocyclitis give rise to ciliary injection. (33)F: This is the typical cobble-stone pattern of giant papillae encountered in cases of spring catarrh or contact lens users. Acyclovir is an antiviral drug & has no role in allergic disorders. Instead, steroids have a favorable effect in such conditions. Staph. aureus toxins may have a role in cases of phlyctenular keratoconjunctivitis.

(34)G: Trachoma, parasitic blepharitis & mucopurulent conjunctivitis are more prevalent in low socioeconomic classes. Dendiritic corneal ulcers & iridocyclitis have no relation to the socioeconomic class. (36)E: These conjunctival follicles may be found in any of the mentioned conditions. (37)A: This is the typical stringy mucoid discharge found in cases with giant papillary conjunctivitis (GPC). GPC may be detected in spring catarrh, allergy to contact lenses or irritation due to a protruding suture. (38)A: The left photo represents the typical limbal form of spring catarrh with mucoid limbal nodules as well as Tranta spots. The right one represents a steroid-induced complicated posterior subcapsular cataract (the drugs that gives a dramatic relief in such conditions are coricosteroids and many children use them without medical supervision for many years, hence the complication). (39)B: This represents a case of ophthalmia neonatorum. All mentioned causes are correct except acanthemebae (a protozoan that may cause a rare & severe form of keratitis in contact lens wearers with improper lens disinfection). (40)E: This is a case of purulent conjunctivitis (PC). Haloes around light could occur when the discharge

crosses the pupil. Viral infections give rise to watery discharge. The main risk is keratitis (why?).