Pathology and treatment of giant papillary conjunctivitis. I. The U.S. perspective.

Giant papillary conjunctivitis is a disease we are seeing more and more. I believe it can be avoided with new ways of designing the lenses and new ways of cleaning them. Meanwhile, however, we need to improve cleaning, increase our use of enzymes, irrigate the conjunctiva, change lenses often, and use cromolyn sodium to stabilize the mast cells. These measures should enable our patients to continue using their contact lenses longer.