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If this is combined with rhinitis, the condition is termed "allergic rhinoconjunctivitis".

The symptoms are due to release of histamine and other active substances by mast cells, which stimulate dilation of blood vessels, irritate nerve endings, and increase secretion of tears.

Conjunctivitis is identified by irritation and redness of the conjunctiva.

Except in obvious pyogenic or toxic/chemical conjunctivitis, a slit lamp (biomicroscope) is needed to have any confidence in the diagnosis.

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Pseudomembranes consist of a combination of inflammatory cells and exudates, and are loosely adherent to the conjunctiva, while true membranes are more tightly adherent and cannot be easily peeled away.

Severe crusting of the infected eye and the surrounding skin may also occur.

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Bacterial conjunctivitis causes the rapid onset of conjunctival redness, swelling of the eyelid, and mucopurulent discharge.

Typically, symptoms develop first in one eye, but may spread to the other eye within 2–5 days.

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