Purpose To evaluate the incidence, symptoms, clinical signs, and therapy instituted in children with blepharokeratoconjunctivitis (BKC). Methods In this observational, retrospective case series, we ...reviewed all medical records of pediatric patients presenting to the ophthalmology clinic at the Kalawati Saran Children’s Hospital, New Delhi, India from 2003 to 2006. History, clinical characteristics, and treatment protocol were noted, as well as reason for presentation/referral and subsequent diagnosis. Results Of 5,012 pediatric patients, 615 (12%) demonstrated features of BKC. Boys were more commonly affected (62%) than girls. The mean age at presentation was 6.7 years (range, 7 months to 16 years). Lid involvement and conjunctival congestion were consistent features. Anterior (seborrheic variety) blepharitis was seen in nearly half the children (302), followed by chalazion (18%), external hordeolum (17%), ulcerative anterior blepharitis (6%), phlyctenular keratoconjunctivitis (6%), and marginal ulcerative keratitis (2%). Refractive error was evident in 521 of 615 children (85%) with BKC. All patients were treated with daily eyelid hygiene, warm compresses, and topical antibiotics. Corticosteroid drops were prescribed in 14% and oral erythromycin in 23%. Conclusions BKC was the commonest diagnosis at consultation among all pediatric referrals. Anterior blepharitis was more common than posterior blepharitis. Severe cases with corneal involvement accounted for only 5% of the disease spectrum.
To analyze the oculometric parameters in preterm infants with and without retinopathy of prematurity (ROP) and to observe the effect of presence of ROP on development of myopia.
A prospective study ...of preterm infants screened for ROP. Examination included fundus examination, cycloplegic refraction, and biometric measurements at three visits.
A total of 42 preterm infants were divided into two groups: preterm infants with ROP and preterm infants without ROP. Preterm infants with ROP who had myopia showed increased lens thickness with similar anterior segment lengths compared to preterm infants without ROP and preterm infants with ROP who did not have myopia.
Increased lens thickness in the absence of anterior segment arrest seems to be the major contributing factor for myopia in ROP.This change may be associated with altered neuroectodermal development in ROP.
Acquired capillary hemangioma of the eyelid in adults is uncommon. The authors report an unusual case of acquired capillary hemangioma in a 12-year-old pubertal girl. The importance of development of ...such vascular lesions at puberty, due to hormonal changes and increased estrogen levels, is highlighted.
