case_images: PMC10577227_01
case_images: Slit-lamp examination of a 12-year-old girl's right eye (A, upper panel) reveals unilateral limbal VKC, characterized by conjunctival hyperemia that is more pronounced in the perilimbal area. Limbal involvement is marked by the presence of sticky mucous filaments, gelatinous limbal infiltrates with Horner-Trantas dots, and modest superficial paralimbal punctate keratitis in the upper sector of the cornea. Slit-lamp examination of the girl's left eye (B, lower panel) only showed a slight presence of diffuse conjunctival hyperemia.
case_images: fped-11-1237760-g001.jpg
case_images: PMC10577227_01_fped-11-1237760-g001.jpg
case_images: F1
case_images: Additionally, the cornea had a modest superficial paralimbal punctate keratitis in the upper sector (Figure 1).
case_images: PMC10577227_02
case_images: Slit-lamp examination of the 7-year-old boy's right eye (A, upper panel) shows a unilateral limbal VKC. Small round limbal nodules (papillae) and two small Horner-Trantas nodules (arrow) can be noticed in the superior and lateral regions. Eyelid margins are not involved. The boy's left eye (B, lower panel) was normal upon examination.
case_images: fped-11-1237760-g002.jpg
case_images: PMC10577227_02_fped-11-1237760-g002.jpg
case_images: F2
case_images: Two of these (on the upper limbus) had small Horner-Trantas nodules at their apex, typical of the active phase of the disease (Figure 2).