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Recurrent episcleritis in children less than 5 years of age

Syed Ashfaq Ali Shah1, Hassan Sajid Kazmi, Abdul Aziz Awan

  • 1Department of Ophthalmology, Ayub Medical College and Teaching Hospital, Abbottabad. ashfaqfauzia@yahoo.com

Journal of Ayub Medical College, Abbottabad : JAMC
|June 27, 2007
PubMed

Insights

Recurrent episcleritis in children under five is typically benign. Upper respiratory tract infections are the most common associated condition, with pet contact also noted.

Area of Science:

  • Ophthalmology
  • Pediatrics
  • Systemic Disease

Background:

  • Episcleritis is common in adults but rare in children.
  • Systemic diseases are associated with one-third of adult episcleritis cases.
  • This study investigates systemic associations in children under five with recurrent episcleritis.

Observation:

  • A retrospective observational case series included six children diagnosed with recurrent episcleritis.
  • Patients underwent comprehensive ophthalmologic and systemic evaluations.
  • The study period spanned from March 1995 to February 2006.

Findings:

  • Four boys and two girls, aged 35-52 months, were studied.
  • The right eye was affected in three cases, the left in two, and one case was bilateral.
  • Sixty-six percent of children had a recent history of upper respiratory tract infection.
  • No other systemic abnormalities were detected.
  • Two cases reported contact with pet animals.

Implications:

  • Recurrent episcleritis in young children is generally a benign condition.
  • Upper respiratory tract infection is the most frequent systemic association.
  • Pet animal contact may be a contributing factor in pediatric recurrent episcleritis.
Abstract

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