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Year : 2023  |  Volume : 3  |  Issue : 1  |  Page : 3-5

An unusual presentation of vernal keratoconjunctivitis

1 Department of Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
2 Department of Pathology, Apollo Hospital, Bhubaneswar, Odisha, India
3 Department of Ophthalmology, PGI, Chandigarh, India

Correspondence Address:
Bijnya B Panda
B-3,202, Shreekhetra Residency, Aiginia, Bhubaneswar, Odisha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_2082_22

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Vernal keratoconjunctivitis is diagnosed mainly on the basis of typical signs and symptoms of allergic conjunctivitis such as conjunctival papillae, limbal gelatinous thickening, peri-limbal Horner–Trantas dots, and shield ulcers. Limbal hyperplasia can be a rare finding in such patients, which mimics an ocular surface neoplasm and is difficult to diagnose clinically unless a histopathological examination is done. We report a case of a young boy with a longstanding history of allergic conjunctivitis refractory to topical corticosteroids who presented with a giant isolated limbal conjunctival nodule and was successfully managed without any recurrence.

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