Shield Ulcer in Vernal Keratoconjunctivitis

We present a 14-year-old girl with shield ulcer due to vernal keratoconjunctivitis. Slit lamp examination revealed more prominent giant papillae on superior tarsal conjunctiva giving cobblestone appearance in the right eye than in the left eye. In addition, an oval-shaped shield ulcer with a transparent base on the right cornea was detected. The left cornea was unremarkable. She was treated with topical tacrolimus hydrate and flumetholon drops twice a day. Two months later, giant papillae gradually improved and shield ulcer healed with mild corneal opacity. Clinicians should be aware of corneal findings and importance of eyelid eversion in patients with vernal keratoconjunctivitis.