Blepharokeratoconjunctivitis is a chronic inflammatory eye disease of the ocular surface that is often an underdiagnosed in children. This condition may impact visual acuity and in rare cases can cause corneal perforation and damage may occur leading to vision loss.
Symptoms for chronic blepharokeratoconjunctivitis may include chronic eye lid inflammation, recurrent meibomian cysts, conjunctivitis, scarring and perforation, the presence of tearing, photophobia, red eyes and keratitis to name a few.
Although recurrences are common, this condition may be successfully managed with a range of therapies including, eye lid hygiene, warm compresses, ointment, topical antibiotics, topical corticosteroids and systemic antibiotics. The prevalence of corneal damage may increase with delayed diagnosis.
Although the disease is similar in children and adults, the visual outcome is noticeably worse amongst children. Blepharoconjunctivitis in children is characterised by blepharitis with recurring episodes of conjunctivitis and keratopathy. Blepharokeratoconjunctivitis is a common reason for cornea referrals in children, however, the disease rarely progresses after age 8.
Adult blepharoconjunctivitis is seen to be more responsive to treatment than other forms of chronic blepharoconjunctivitis. The eye condition is also a lot more common among certain countries particularly in Asia and the Middle East.
If you notice any changes or differences in your child’s vision, it is important to see an ophthalmologist. Regular eye exams can identify any underlying eye conditions, this provides better chances for the management and treatment of eye problems.
Author: Samer Hamada is a distinguished consultant ophthalmologist and cornea surgeon performing eye surgeries at his practice, Eye Clinic London. With nearly two decades’ experience, Mr. Hamada is recognised as a leading expert in the field of cataract, refractive lens exchange (RLE) and corneal surgeries.
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