Which finding is NOT typically associated with allergic conjunctivitis?

• A. Itching
• B. Papillae
• C. Follicles
• D. Watery discharge

Answer: (C)

In allergic conjunctivitis, itching is the standout symptom from the allergic histamine release on the ocular surface. The inflammation tends to drive a papillary reaction on the palpebral/conjunctival surface, producing visible papillae, and the discharge is typically watery or mucous-like from lacrimal and mucous gland irritation. Follicles, however, are lymphoid nodules that form in response to antigenic stimulation and are classically seen with viral (and sometimes chlamydial) conjunctivitis rather than allergy. So, while itching, papillae, and watery discharge fit allergic conjunctivitis, follicles do not, making them the finding that’s not typically associated with the condition.