<prompt> Ropy discharge is seen in -TrachomaVernal conjunctivitisCorneal ulcerEpidemickeratoconjunctivits  <response>: Ans. is b i.e., Vernal conjunctivitis o Ropy stringy discharge is seen in vernal keratoconjunctivitis,Vernal kerato conjunctivitis spring cattarrho Spring cattarrh is an allergic inflammation of conjunctiva w hich is characterized by recurrent, bilateral, interstitial, selflimiting conjunctivitis that becomes aggravated during spring and summer period.o It is considered to be Type I hypersensitivity reaction immediate type to exogenous allergens such as grass pollens.o It is more common in boys and affects age group 4-20 years,o More common in summer; hence the name spring catarrh looks a misnomer,o Recently it is being labeled as Warm weather conjunctivitis fClinical features of spring catarrho Spring catarrh is characterized by marked itching burning, Stringy ropy discharge, lacrimation, photophobia and heaviness of lids.o Clinically spring catarrh is divided into three types : -Palpebral form : - It is the most common types. The upper palpebral conjunctiva show s papillae papillary hypertrophy with their characteristic appearance : - i Lage flat toped, ii Cobble stone appearance Pavement stone appearance. These papilla heal without scarring.Bulbar form : - It is characterized by i Dusky red triangular congestion of bulbar conjunctiva in palpebral area; ii Gelatinous thickened accumulation of tissue around the limbus; iii Presence of discrete whitish raised dots along the limbus Trantas spot.Mixed form : - Both bulbar and palpebral manifestations occur together.Corneal signs Vernal keratopathyo Punctate epithelial keratitiso Ulcerative vernal keratitis : shallow transverse ulcer Shield ulcero Vernal corneal plaqueso Subepithelial scarring 