Final answer:
In recurrent allergic conjunctivitis, a child's clinical examination would reveal red, watery, and itchy eyes, swollen conjunctiva with possible nodules, and sensitivity to light, indicating inflammation frequently caused by an allergic reaction.
Step-by-step explanation:
In a child with recurrent allergic conjunctivitis, one would find red, watery, and itchy eyes along with possible swollen conjunctiva and sensitivity to light. Clinical examination may also show conjunctival nodules and potential corneal lesions.
Allergic conjunctivitis is characterized by inflammation of the conjunctiva, the transparent membrane that covers the white part of the eye and lines the inner side of the eyelids. Children suffering from this condition typically present with symptoms such as red and itchy eyes, excessive tearing, and an uncomfortable sensitivity to light. In some cases, there can be the formation of nodules on the conjunctiva, which are small, round, dome-shaped projections red at the base and paler at the top. Because allergic conjunctivitis often occurs in conjunction with other allergic symptoms, a child may also experience sneezing and a runny nose (allergic rhinitis). Upon examination, the eyelids themselves might be slightly swollen due to the inflammation. It is critical to differentiate allergic conjunctivitis from bacterial and viral forms, which can present with similar symptoms but also often include a purulent discharge. Recurrent episodes may lead to more significant problems such as corneal scarring, so it's essential to manage allergies to prevent long-term eye damage.