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Published on: April 12, 2024
Dry eye in childhood: epidemiological and clinical aspects
Monica Alves1, Ana Carolina Dias, Eduardo Melani Rocha
1Laboratory of Clinical Physiopathology, Department of Clinical Medicine, State University of Campinas, Campinas, SP, Brazil.
Insights
Pediatric dry eye disease is often overlooked but early detection can lead to successful treatment of underlying causes. Proper management is crucial to prevent ocular surface damage in children.
Area of Science:
- Ophthalmology
- Pediatrics
Background:
- Dry eye disease is uncommon in children, with less understood pathogenesis compared to adults.
- Diagnosis is frequently missed, despite associations with congenital, autoimmune, endocrine, and inflammatory disorders, as well as environmental and nutritional factors.
Purpose of the Study:
- To increase physician awareness of dry eye disease in pediatric patients.
- To outline conditions commonly associated with pediatric dry eye.
- To review available diagnostic and therapeutic strategies.
Main Methods:
- This is a review article, synthesizing existing knowledge on pediatric dry eye.
- The review focuses on associated conditions, diagnostic approaches, and treatment options.
Main Results:
- Early detection of dry eye in children can allow for successful treatment of the root cause.
- In some cases, dry eye is a chronic condition requiring lifelong management to prevent complications like ulceration and scarring.
- A multidisciplinary approach is often necessary for diagnosis and management.
Conclusions:
- Physician awareness of pediatric dry eye disease and its associated conditions is essential.
- Comprehensive diagnostic and therapeutic strategies are required for effective management.
- Prompt intervention can significantly impact patient outcomes and prevent long-term ocular surface damage.
Abstract:
Because dry eye disease is rare in children and its pathogenesis is less well known than in adults, its diagnosis is often overlooked. It can occur in association with a number of congenital, autoimmune, endocrine, and inflammatory disorders, or under certain environmental and nutritional conditions. In some cases, early detection allows the underlying cause of the dry eye to be successfully treated and eliminated. In other cases, the disease may represent a lifelong problem, whose proper management can prevent ulceration and scarring of the ocular surface. Because of the association of pediatric dry eye with other conditions, a multidisciplinary approach to diagnosis and treatment is usually required. The purpose of this review is to enhance physician awareness of dry eye in children, to describe the most frequently associated conditions, and to discuss the diagnostic and therapeutic options available.
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