Image Question-42

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What is the diagnosis?

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What is the diagnosis of Image?

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A. Epidemic keratoconjunctivitis

B. Vernal keratoconjunctivitis

C. Superior limbic keratoconjunctivitis

D. Keratoconjunctivitis sicca

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Vernal keratoconjunctivitis (VKC) is a recurrent, bilateral allergic inflammation of the conjunctiva.

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Vernal keratoconjunctivitis (VKC) is a type of allergic conjunctivitis.

Vernal keratoconjunctivitis is a common bilateral atopic disease clinically characterized by limbal papillae having papillary, limbal, and mixed forms. 

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Horner Tranta dots

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Limbal papillae

Horner’s-Tranta’s dots -clumps of necrotic eosinophils, neutrophils and epithelial cells

Peri-limbal Horner-Trantas dots are focal white limbal dots consisting of degenerated epithelial cells and eosinophils.

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Clinical forms of VKC

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There are three clinical forms of VKC:

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1. The palpebral form with giant papillae on tarsal conjunctiva.
2. The limbal form with Horner’s-Tranta’s dots
3. A mixed form combining the two described before

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Vernal Keratoconjunctivitis Signs

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Signs consist of inflammation of the mucous membrane lining the inside of the eyelid (conjunctiva) and the outer coat of the eyeball (sclera); hard, cobblestone-like bumps (papillae) on the upper eyelid; and stringy or mucous discharge.

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