Conjunctival Inclusion Cysts in Chronic Vernal Keratoconjunctivitis: String of Pearls

A 15-year-old Asian male, with a history of skin allergy and asthma, presented complaints itching, photophobia, redness in both eyes for the last 10 years. His right eye showed upper lid papillae, perilimbal conjunctival pigmentation, gelatinous limbal hyperplasia temporal quadrant (Fig A), pseudogerontoxon involving nasal cornea B). The superior limbus multiple raised, circumscribed, transparent inclusion cysts string pearls–like appearance superficial corneal vascularisation C). Anterior-segment OCT revealed hyporeflective cystic spaces separated by intervening septa increased epithelial thickness D) (Magnified version Fig A-D is available online at www.aaojournal.org).