Background: Vernal keratoconjunctivitis (VKC) is a chronic, bilateral allergic disease of the external eye that leads to chronic irritation, watering, and discharge. It occurs universally but is more common in hot and dry environments. It typically affects children in their first two decades and although the majority of cases have a good prognosis and This study is undertaken to stress upon the importance of clinical manifestations, management and prevent the complications of the disease and those secondary to its long-term medication.Aim of study:To study the clinical features (ocular symptoms, signs and type), the age and sex distribution, the seasonal variation of symptoms,and the effect of topical therapy on VKC patients.