The patient is a 6-year-old boy with seasonal conjunctival symptoms (exacerbation in the spring), associated to atopic eczema.

In Spring the eyelids showed mild oedema and blepharitis, the bulbar and tarsal conjunctiva was hyperaemic with papillary reaction, but without the typical giant cobblestone-like papillae.

The cornea showed mild punctate keratopathy and the limbal conjunctiva was thickened and oedematous, with limbal nodules with gelatinous appearance was observed – Trantas’ dots.