Isolated large limbal nodule as the presenting feature of vernal keratoconjunctivitis.

The presentation of vernal keratoconjunctivitis ranges from mild itching to severe corneal involvement. This case highlights an isolated limbal nodule as an unusual presentation of vernal keratoconjunctivitis that did not respond to topical fluorometholone (0.1%), but resolved with topical cyclosporine (2%). Topical cyclosporine (2%) can be considered first-line treatment for such cases.