Snap Shot A 7-year-old immigrant is being evaluated after recently arriving to the United States. He is noted to be rubbing and scratching at his eye. On physical exam, the eyelid is everted and the finding is shown. Introduction Caused by Chlamydia trachomatis serotype A-C Constant corneal irritation results in conjunctivitis and neovascularization Presentation Symptoms nasal discharge eye rubbing/scratching Physical exam pannus formation on the cornea Evaluation Histology Giemsa stain of conjunctival scrapings Treatment Medical topical tetracycline oral azithromycin Prognosis, Prevention, and Complications If untreated this condition leads to blindness