In VKC, papillae are typically located more superiorly or inferiorly?

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Multiple Choice

In VKC, papillae are typically located more superiorly or inferiorly?

Explanation:
In VKC, the hallmark is giant cobblestone papillae on the upper palpebral (tarsal) conjunctiva. This superior location reflects the palpebral form of the disease, where the upper lid’s tarsal surface bears the prominent inflammatory papillae from chronic rubbing and eosinophilic inflammation. While bulbar involvement can occur, papillae in VKC are not characteristically described as inferior; hence the superior location best fits the typical presentation.

In VKC, the hallmark is giant cobblestone papillae on the upper palpebral (tarsal) conjunctiva. This superior location reflects the palpebral form of the disease, where the upper lid’s tarsal surface bears the prominent inflammatory papillae from chronic rubbing and eosinophilic inflammation. While bulbar involvement can occur, papillae in VKC are not characteristically described as inferior; hence the superior location best fits the typical presentation.

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