<prompt> In the grading of trachoma, trachomatous inflammation - follicular is defined as the presence of -5 or more follicles in the lower tarsal conjunctiva3 or more follicles in the lower tarsal conjunctiva5 or more follicles in the upper tarsal conjunctiva3 or more follicles in the upper tarsal conjunctiva  <response>: Five or more follicles in the upper tarsal conjunctiva . Reference:National Health Programs of India by Dr.J.Kishore,7th edition,pg no:368. p 