Giant Papillary Conjunctivitis testing includes fluorescein staining and what other examination maneuver?

• A. Lid eversion
• B. Intraocular pressure measurement
• C. Visual field testing
• D. Schirmer test

Answer: (A)

Evaluating giant papillary conjunctivitis hinges on directly inspecting the upper lid margin for the characteristic large papillae on the tarsal conjunctiva. This is best accomplished by everting the upper eyelid during a slit-lamp exam. Fluorescein staining helps reveal corneal surface involvement, but the key maneuver for visualizing the conjunctival changes is lid eversion. The other tests—measuring intraocular pressure, assessing visual fields, or performing a Schirmer test—do not target the lid papillae or conjunctival inflammation seen in this condition and aren’t part of its typical diagnostic workup.