Posters

An unusual association of vernal keratoconjunctivitis and ocular rosacea in a pediatric patient

Poster Details

First Author: M.El Ikhloufi MOROCCO

Co Author(s): M. Boutkhil   K. Madbouhi   L. Cherkaoui              

Abstract Details

Purpose:

Vernal keartoconjunctivitis (VKC) is a clinical form of allergic conjunctivitis that affects children and young adults. It is rarely implicated in ophtalmologic practice. This allergy can be potentially severe for the ocular surface and have an impact in everyday life. Ocular rosace is a common and potentially blinding eye disorder with an uncertain etiology. It is  frequently underdiagnosed, especially in children because it often presents without skin lesions. The purpose is to report an unusual case of an 8 year old boy involving the association of vernal keratoconjunctivitic and ocular rosacea.

Setting:

Ophtalmology Unit A, Hoptital des Spécialités, Mohammed V, University in Rabat, Morocco

Methods:

A 8-year-old boy brought back by his parents after observing a decrease in visual acuity, photophobia and a constant tearing. As a history, he has a reccuring chalazions ,a severe eye itching  and a facial skin change such as papule. The child was uncooperative to quantify his visual acuity. Slit lamp examination found a bilateral giant papillae  with developing gelatinous infiltrations around the limbous surrounding the cornea, a punctate epithelial erosions , a bilateral meibomitis  and  two corneal catarrhal infiltrates on the left eye. Eosinophils are the predominant cells found in the blood.

Results:

A diagnosis of vernal keratoconjunctivitic and ocular rosace was made and the child received a topical corticosteroids, antihistamines , artificial tears,and systemic  Erythromycin with a digital eyelid massage by warm compress and the wearing of sunglasses and a cap. The symptomatology has improved 3 weeks later with bilateral regression of Trantas dot and the gelatinous limbic infiltrations, and  the improvement in the subjective symptoms and objective signs of meibomian gland dysfunction. However corneal catarrhal infiltrates persisted. There was no recurrence: after stopping treatment on a follow-up of 6 months.

Conclusions:

Ocular rosacea and KCV are two diagnoses all the more easily confused that their association is possible,however, this association has not been reported in the literature.

Financial Disclosure:

None