Trantas’ dots

Hypermia Erythema Macro/giant papillae (upper Ud) Trantas dots... 

Specifically, the giant papillae found in VKC consist of dense fibrous tissue (connective tissue hyperplasia) as well as eosinophils, mast cells, basophils, polymorphonuclear leukocytes, lymphocytes, and macrophages. Mucous discharge contains eosinophils. Trantas dots, which appear as elevated white opacities at the limbus, contain eosinophils and epithelial cells. 

Trantas dots may be found in any of the types of VKC (Figure 27-7).They are usually found at the upper limbus... 

Figure 27-7 Patient with Trantas dots in vernal keratoconjunctivitis.

Corneal involvement, in the form of superficial punctate keratopathy of the epithelium, is common and is found in 100% of patients. More serious changes include corneal ulceration, with subsequent loss of vision in 70% of patients, neovascularization, pannus, and scarring. Other corneal findings include Trantas dots, keratoconus, and filamentary keratitis. 

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