Figure 2.

(a and d) A 45 year old lady complained of bilateral gritty sensation, mild pain and eye rubbing. Mild conjunctival congestion was noted temporally in both eyes, but other findings were normal. She was diagnosed as dry eye, and improved with lubricants. (c and d) 12-year-old child with acute severe pain and unable to open the eye sent this picture which showed dense congestion, central corneal lesion and hypopyon (c). Examination in the emergency clinic conformed infected shield ulcer. Lid eversion showed giant papillae (d), characteristic for vernal keratoconjunctivitits