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Ocular rosacea in childhood

Sayeda Asad Nazir1, Scott Murphy, R Michael Siatkowski

  • 1University of Oklahoma College of Medicine, Oklahoma City, Oklahoma, USA.

American Journal of Ophthalmology
|January 1, 2004
PubMed

Insights

Pediatric ocular rosacea, characterized by eyelid inflammation and photophobia, often lacks skin symptoms and responds well to antibiotics. Long-term treatment may be needed for this condition in children.

Area of Science:

  • Ophthalmology
  • Dermatology
  • Pediatrics

Background:

  • Ocular rosacea is a common condition in adults, but its presentation and characteristics in children are less understood.
  • This study focuses on the pediatric population, aiming to elucidate the specific clinical features and treatment outcomes of ocular rosacea in this age group.

Observation:

  • The study reviewed six pediatric cases of ocular rosacea, with patients ranging from 3 to 12 years old.
  • Common symptoms included chronic ocular irritation and photophobia. All patients exhibited eyelid telangiectases and meibomian gland disease, with half developing sterile corneal ulcers.
  • Notably, only two patients showed cutaneous involvement, distinguishing pediatric cases from adult presentations.

Findings:

  • Pediatric ocular rosacea often presents with bilateral eyelid inflammation and meibomian gland dysfunction, frequently without skin manifestations.
  • Treatment with oral antibiotics, such as doxycycline or erythromycin, combined with topical agents, led to significant improvement in all patients.
  • The condition can be misdiagnosed as infectious conjunctivitis due to similar inflammatory signs.

Implications:

  • Early diagnosis and treatment of ocular rosacea in children are crucial to prevent complications like corneal ulcers.
  • Understanding the distinct features in pediatric patients, particularly the rarity of cutaneous involvement, aids in accurate diagnosis.
  • Long-term management strategies may be necessary to prevent recurrence and ensure sustained visual health in affected children.
Abstract

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