<prompt> Giant papillary conjunctivitis is associated with:Hard Contact lensRigid gas permeable contact lensSoft hydrophilic contact lensINTACS  <response>: Ref: Kanski Clinical Ophthalmology 6th edition; page no 218. 234Explanation:Conjunctival papillae: Hyperplasic conjunctivalepithelium with fibrovascular core subepithelial infiltration w ith inflammatory cells Thi ee types of papillae: Micropapillae - mosaic like red dotsMacropapillae - 1mm in size Giant papillae - I mm in size Causes of iiant papillary conjunctivitisRepeated mechanical irritation of the conjunctivaOcular prosthesesExtruding scleral bucklesExposed ocular suturesFiltering blebElevated corneal scars- Giant papillary conjunctivitis symptoms and signs, such as papillary changes in the tarsal conjunctiva, have been associated w ith the use of all types of contact lenses eg, rigid, hydrogel silicone hydrogel, piggyback, scleral, prosthetic.Incidence of giant papillary conjunctivitis with various type of contact lensesSoft contact lens wearers: 1 to 45.Conventional soft contact lens: 34Extended wear disposable soft contact lens wearers -5Frequent replacement contact lens every one day to twrelve weeks: 21.27Rigid gas permeable lens wearers: Very low 1 to 5 .TYPESSITECAUSESAnteriorInvolving part of the whole of the cornea; lined by irisSloughing corneal ulcerIntercalaryLimbus 2mm from the limbus; lined by ciliary bodyPerforating injuries, marginal corneal ulcer, anterior scleritis, scleromalacia perforans, post surgical wound site, secondary glaucomaEquatorial2-8 mm from the 1mbus ; lined bv the choroidScleritis. pathological myopia, chronic uncontrolled glaucomaPosteriorPosterior pole; lined by the choroidSame as equatorial 