Objectives: To study the variations in epidemiological characteristics, clinical features, disease process and various modalities of management in VKC. Materials and Methods: A hospital based prospective study of 150 patients presenting with symptoms of allergic conjunctivitis was done at Out Patient Department of Ophthalmology, ESIC Medical College, Gulbarga, from July 2018 to June 2019. Multiple epidemiological (age, sex) and clinical parameters (type, symptoms, treatment, failure of treatment) were studied. All patients were appropriately managed and reviewed once in fortnight and follow up ranged from a minimum of 3 months to 6 months. Results: In our study, out of 150 patients who presented with symptoms of VKC, predominance of male that was seen in 74%compared to females being 26%. Mean age affected was found to be in range of 10-16 years 66%. In our study 68% patients had seasonal symptoms, 32% complained perennial symptoms, 30% patients had personal or family history of allergic diseases, asthma and rhinitis being common and maximum cases were reported during January to April. In our study, 100% patients complained of itching, 52% had redness, 32% had ropy discharge, 24% complained of photophobia, 18% had burning sensation, 12% had watering. The disease pattern consisted of palpebral form in 63.3%, bulbar form in 21.3% and mixed form in 23% patients. Corneal involvement was seen in 12 (13.33%) patients. Superficial punctate keratitis was the commonest presentation. Bulbar form of the disease was found to be sensitive to Sodium cromoglycate alone. Olopatadine hydrochloride 0.1% E/d and antihistamine E/d were used along with steroids in patients and proved beneficial for long term. Conclusion: VKC is a common form of conjunctivitis in a tropical country like ours. It is a bilateral, recurrent debilitating form of disease found to affect young males below 16 years. VKC is associated with other systemic atopy or family history of allergic disorders. It can be successfully treated with available antiallergic treatment with good prognosis.

Keywords: VKC; OPD.