In adult inclusion conjunctivitis lid eversion findings include which of the following?

• A. Papillae and follicles inferiorly
• B. Only papillae superiorly
• C. No lid changes
• D. Follicles only on the upper lid

Answer: (A)

In adult inclusion conjunctivitis, lid eversion usually shows inflammatory changes on the inferior palpebral conjunctiva, with both papillae and follicles present. The follicles reflect chronic chlamydial infection, while the papillary reaction indicates surface inflammation. Seeing these findings together on the lower lid is characteristic and helps distinguish this condition from others. It wouldn’t fit to have no lid changes, or to have changes only on the upper lid (or follicles only on the upper lid), since the inferior lid commonly bears these features in this disease.