Conjunctival Anatomy ■ The conjunctival epithelium includes goblet cells that produce the mucous layer of the tear film. ■ The conjunctival stroma comprises a superfi cial adenoid layer and a deep fi brous layer. The former contains lymphoid tissue that results in follicle formation with appropriate stimuli (it is undeveloped in infants who cannot develop a follicular response). The tarsal conjunctiva is firmly anchored to the tarsus, resulting in papillae when there is conjunctival infiltration, whereas the bulbar conjunctiva is only loosely attached to the globe and papillae are not seen except at the limbus. ■ Lymphatics drain to the submandibular and preauricular … Continue reading EXTERNAL EYE DISEASE (Conjunctiva)