MCQ 1 (Ophthalmology)

Q) Which of the following is NOT seen in bulbar form of vernal conjunctivitis?
a) Cobblestone arrangement of papillae
b)Tranta’s spots
c) Gelatinous thickening
d) Bulbar conjunctival congestion
Ans: a) (Khurana 3rd Ed., 100)

There are three forms of vernal conjunctivitis:
1) Palpebral form:
·usually upper tarsal conjunctiva of both eyes is involved.
·Hard, flat-topped papillae arranged in “cobblestone” or “pavement stone” fashion.
·Ropy discharge.
2) Bulbar form:
·Dusky red triangular conjestion of bulbar conjuntiva.
·Gelatinous limbal membrane.
·Discrete whitish raised dots along the limbus (Tranta’s spots).
3) Mixed form: combines both features of palpebral and bulbar forms.