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An obese 44-year-old man, a smoker, with a body mass index (BMI) of 38 and a history of diabetes, had multiple presentations of a left red eye with associated tearing, burning, itching and gritty feeling. He was treated for bacterial conjunctivitis on many occasions in the primary care setting before being referred to the ophthalmology department. On closer examination, chronic papillary conjunctivitis was noted, with increased eyelid laxity (figure 1). …
Contributors PSD performed the literature review and wrote the manuscript. GL was responsible for the patient management and final approval of the manuscript.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.