What is vernal conjunctivitis?

Updated: Mar 03, 2021
  • Author: Michael A Silverman, MD, FACEP; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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An aggressive form of allergic conjunctivitis is vernal conjunctivitis in children and atopic conjunctivitis in adults. Vernal disease is often associated with shield corneal ulcers. Perilimbal accumulation of eosinophils (Horner-Trantas dots) typifies vernal disease. Vernal keratoconjunctivitis (VKC), usually affects young boys, tends to be bilateral, and occurs in warm weather. VKC is presumed to be a hypersensitivity to exogenous antigens and may be associated with or accompanied by keratoconus.

Preauricular adenopathy is absent; chemosis is common. The conjunctival discharge amount is moderate, stringy, or sparse, with a clear quality. There is moderate conjunctival injection.

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