<prompt> Treatment of phlyctenular conjunctivitis is?Systemic steroidsTopical steroidsAntibioticsMiotics  <response>: ANSWER: B Topical steroidsREF: Parsons 20th ed p. 173Treatment of phlyctenular keratoconjuctivit is:Topical steroids are drugs of choiceTopical antibiotics and atropine are used when cornea is involved Phlyctenular conjunctivitis:Delayed type IV hypersensitivity response to endogenousstaphylococcus proteins most common tuberculous proteinsmoraxella and worm infestationusually unilateral, more common in girlsItching is most common symptomPhlycten or nodule near limbus is seen , pinkish, ulcerates at apexMiliary, ring, fascicular, sacrofulous ulcers are seenRemember spring catarrh is type I hypersensitivity to exogenous proteins like pollens and it is more common in boys. 