Vernal keratoconjunctivitis (VKC) is a chronic, bilateral, allergic conjunctivitis with episodes
of acute exacerbations. Although VKC has a self-limiting course, chronic recurrent
inflammation can cause long-term visual impairment due to corneal complications including
shield ulcers, infectious keratitis, keratoconus, corneal opacities, and limbal stem cell
deficiency. The initial step in the management of corneal involvement is medical treatment of
the acute stage of VKC and prevention of recurrences. Giant papillae not responding to …