Vernal keratoconjunctivitis - External and Internal Eye
It has a strong correlation with family history of atopy and tends to occur mostly in children, with male patients affected more than female patients. VKC mostly occurs between the ages of 5 and 25 years, with a peak incidence in children aged 10-12 years and usually resolving in puberty.
Symptoms include itching, irritation, photophobia, tearing, and blurry vision. Signs include conjunctival injection, upper lid cobblestone-like bumps called papillae, and ropy mucous discharge. The disease is mostly bilateral in presentation.
Overall prognosis is good with VKC as it can resolve completely with age. Complications may occur with corneal scarring or symblepharon formation, but usually the disease is benign and self-limiting.
H16.299 – Other keratoconjunctivitis, unspecified eye
317349009 – Vernal keratoconjunctivitis
Differential Diagnosis & Pitfalls