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Summary
Trantas' dots, typically found at the eye's edge, can appear centrally on the cornea in children with vernal keratoconjunctivitis (VKC). This case highlights a new location for these characteristic VKC signs.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Corneal Diseases
Background:
- Vernal keratoconjunctivitis (VKC) is a bilateral, itching, seasonal eye inflammation common in children.
- Trantas' dots are a clinical sign of VKC, traditionally observed as punctate, grayish-white deposits at the limbus.
Observation:
- A nine-year-old boy diagnosed with VKC presented with Trantas' dots.
- These dots were notably located over a central corneal plaque, deviating from the typical limbal presentation.
Findings:
- The case demonstrates that Trantas' dots are not exclusively confined to the limbus.
- Central corneal involvement with Trantas' dots can occur in the context of severe VKC.
Implications:
- This finding expands the clinical understanding of Trantas' dots presentation in VKC.
- Ophthalmologists should consider central corneal examination for Trantas' dots in pediatric VKC cases.