EyeRounds Online Atlas of Ophthalmology
Contributor: David W Hayes, DO, US Military Flight Surgeon
Category: External Disease
Severe VKC in a 17yo Afghani Male. Note the very large "cobblestone" papillae of the superior tarsal conjunctiva in both lids.
In this image, the concurrent bulbar conjunctival injection and limbal conjunctivitis is evident beneath the lid (see related EyeRounds case http://EyeRounds.org/cases/70-Vernal-Keratoconjunctivitis-Atopic-Asthma.htm).
Limbal vernal keratoconjunctivitis (VKC)
Contributor: Jesse Vislisel, MD
Photographer: Stefani Karakas, CRA
Vernal keratoconjunctivitis (VKC) is a seasonal disorder, predominantly seen in male children with a history of atopy, which results in inflammation of the cornea and conjunctiva. Limbal VKC is most common in children of African or Asian descent and may occur alone or in combination with palpebral VKC. Clinical features include Horner-Trantas dots (raised, white accumulations of eosinophils at the limbus), gelatinous limbal follicles, and copious amounts of mucoid discharge.
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