What condition is indicated in a 45-year-old woman with ocular pruritus, redness, and a feeling of dry, leathery eyes?

The condition described in the question is indicative of atopic keratoconjunctivitis, particularly given the patient's age and the symptoms of ocular pruritus, redness, and the feeling of dry, leathery eyes. Atopic keratoconjunctivitis is a chronic condition often seen in individuals with a history of atopy, such as asthma or eczema, and typically manifests in older children and adults, making the age of the patient relevant.

The symptoms presented—pruritus, redness, and dryness—are characteristic of this condition, as it leads to inflammation of the conjunctiva and can also involve damage to the corneal epithelium, contributing to the leathery feeling and discomfort. This type of keratoconjunctivitis is also associated with papillary formation and can be more severe than other forms of allergic conjunctivitis.

In contrast, vernal keratoconjunctivitis typically occurs in younger males and is precipitated by seasonal allergens, presenting with large papillae and more acute symptoms. Allergic conjunctivitis is often more common and can present with itchiness and redness, but it usually doesn’t cause the chronic dry eye sensation described. Giant papillary conjunctivitis, while similar in some symptoms, is often related