IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 19, Issue 1 Ser.4 (January. 2020), PP 50-54 www.iosrjournals.org DOI: 10.9790/0853-1901045054 www.iosrjournals.org 50 | Page Clinical Profile of Patients of Vernal Keratoconjunctivitis Presenting To the Tertiary Health Carecentre Dr. Jitendra Kumar 1 , Dr.Vanshika Khanna 2 , Dr. Priyanka Chanana 3 1. Associate Professor & Head, Dept. of ophthalmology, MLB Medical College Jhansi, India. 2, 3 Junior Resident, Dept. of ophthalmology, MLB Medical College Jhansi, India. Corresponding author: Dr. Jitendra Kumar Abstract Purpose - to study the clinical profile of patients of vernal keratoconjunctivitis presenting to the tertiary health care centre. Methods- This was a prospective observational study that involved 100 eyes of 50 patients with vernal keratoconjunctivitis complaining of itching, burning and ropy discharge. Slit lamp examinationwas done in all the patients. Results-There were 37 males and 13 females and the age group taken was 1 to 15 years. 4 patients belonged to the age group of 1 to 5 years, out of which all 4 were males. 32 patients belonged to age group of 6 to 11 years, out of which 24 were males and 8 were females. 14 patients belonged to the age group of 12 to 15 years , out of which 9 were males and 5 were females.On slit lamp examination cobblestone papillae were seen in 46% patients,psuedogerontoxon was seen in 32% patients, Horner Tranta’s spots were seen in 18% patients and shield ulcer was seen in 4% patients. Conclusion-VKC is a common form of allergic conjunctivitis and the disease tends to occur in males of 6 to 11 years age group. Most common is palpebral form followed by mixed and bulbar forms. Some cases showed history of dust exposure, atopy and other allergic conditions. Keywords: vernal keratoconjunctivitis, papillae, ropy discharge,psuedogerontoxon --------------------------------------------------------------------------------------------------------------------------------------- Date of Submission: 26-12-2019 Date of Acceptance: 10-01-2020 --------------------------------------------------------------------------------------------------------------------------------------- I. Introduction Allergic conjunctivitis is the inflammation of the conjunctiva (caused by hypersensitivity type I reaction) due to the immune response to the allergens[1]. Vernal (springtime) keratoconjunctivitis (VKC) is a chronic bilateral inflammation of the conjunctiva/cornea which is manifested by the presence of giant/cobblestone papillae at the tarsus/limbus [2–5]. Commonly presenting symptoms of VKC are stringy mucoid discharge, itching swollen eyelid, tearing, burning, red- eye, foreign body sensation, and photophobia. Whereas most common signs of VKC are lid edema, chemosis, tarsal papillae,psuedogerontoxon, Horner Trantas-Dots, brownish discoloration of eyeballs, darkened eyelids limbal infiltrates [6–8] and shield ulcer. Clinically 3 types of VKC are identified. Limbal type is with a fine gelatinous limbal infraction and Horner Trantas-Dots; the palpebral type has giant papillae > 1mm in diameter on upper tarsus only and mixed type include both types [5,9]. Palpebral VKC is the most predominant form followed by mixed and bulbar forms. About 24% of patients have a perennial form of VKC and more than 66% have a seasonal recurrence[13]. Numerous patients have an exacerbation of VKC in spring season[1]. VKC is a major health problem in dry and hot regions.Effect of climate, sun exposure[9,14], male gender, economic status, dust and wind exposure, underlying atopy, kerosene/wood fire smoke, and close animal contact are identified associated factors of VKC [4,11,15].