What is vernal conjunctivitis?

Updated: Oct 22, 2018
  • Author: Michael A Silverman, MD, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

Answer

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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