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Blepharokeratoconjunctivitis in children.

Kristin M Hammersmith1, Elisabeth J Cohen, Timothy D Blake

  • 1Cornea Service, Wills Eye Hospital, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pa 19107, USA. Khammersmith@willseye.org

Archives of Ophthalmology (Chicago, Ill. : 1960)
|December 14, 2005
PubMed
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Blepharokeratoconjunctivitis is a common pediatric eye condition. Oral erythromycin is an effective treatment, and recurrences can be managed with low-potency steroids.

Area of Science:

  • Ophthalmology
  • Pediatric Cornea Care

Background:

  • Blepharokeratoconjunctivitis is a frequent diagnosis in pediatric ophthalmology referrals.
  • Understanding its incidence and treatment outcomes is crucial for effective patient management.

Purpose of the Study:

  • To determine the incidence, clinical presentation, and treatment outcomes of blepharokeratoconjunctivitis in children.
  • To evaluate the efficacy of oral erythromycin and steroid therapy in this population.

Main Methods:

  • Retrospective case series analyzing medical records of pediatric patients from 1997-2002.
  • Identified 29 cases of blepharokeratoconjunctivitis and reviewed their history, clinical signs, and treatment responses.

Main Results:

  • Blepharokeratoconjunctivitis accounted for 15% of pediatric referrals.

Related Experiment Videos

  • Oral erythromycin was prescribed to 76% of patients, showing significant clinical improvement.
  • Recurrences occurred in 40% of cases but were successfully managed with low-potency steroids.

    • Conclusions:

    • Blepharokeratoconjunctivitis is a prevalent condition in pediatric cornea referrals.
    • Oral erythromycin offers an effective, steroid-sparing treatment option.
    • Recurrent cases are common but manageable with appropriate low-potency steroid therapy.