Limbal vernal keratoconjunctivitis with a hypertrophic limbal mass lesion

A case of limbal vernal keratoconjunctivitis associated with a hypertrophic mass lesion measuring 8 X 5 X 3 mm is reported. The histopathology of this mass, which consisted of hyperplastic epithelium with eosinophilic infiltration and thickened subepithelial stroma of irregular hyperplastic collagenous connective tissue interspersed with numerous eosinophils and inflammatory cells, is presented. A large limbal-mass lesion such as this has not been previously described in association with limbal vernal keratoconjunctivitis.