ABSTRACT
Vernal keratoconjunctivitis (VKC) is a recurrent allergic inflammatory bilateral disease that affects patients primarily in the first and second decades of life. It is more common in warm, dry climates and tropical regions and affects males more often than females. Environmental risk factors include exposure to dust, pollen, smoke and ultraviolet radiation in addition to a systemic allergic predisposition. The diagnosis is essentially clinical and investigations are not routinely indicated. VKC is an important cause of ocular morbidity in young patients, resulting mainly from corneal manifestations, cataract and glaucoma; the last two occur as a result of long-term, inadvertent use of topical steroids prescribed for allergic symptoms. A 14-year-old male presented with symptoms of itching, foreign body sensation and mild diminution of vision in both eyes for the past three months with the development of photophobia and pain since the past two days in the left eye.
