Advances in the Medical Management of Pediatric Blepharokeratoconjunctivitis

Catherine Wang1, Anne Zeng2, Hajirah N Saeed1

  • 1Department of Ophthalmology and Visual Sciences, Illinois Eye & Ear Infirmary, University of Illinois at Chicago, 1855 W Taylor Street, Chicago, IL, 60612, USA.

Advances in Therapy
|November 21, 2025
PubMed

Insights

Pediatric blepharokeratoconjunctivitis (PBKC) is an ocular surface inflammation requiring prompt, multifaceted treatment. Early intervention and amblyopia management are crucial to prevent vision loss in children.

Area of Science:

  • Ophthalmology
  • Pediatric Eye Care

Background:

  • Pediatric blepharokeratoconjunctivitis (PBKC) is a chronic ocular surface inflammatory condition affecting eyelids, conjunctiva, and cornea.
  • Untreated PBKC can result in corneal scarring and irreversible vision loss.
  • Diverse clinical presentations necessitate varied therapeutic approaches.

Purpose of the Study:

  • To provide ophthalmologists with a comprehensive review of current medical strategies for PBKC.
  • To consolidate information on managing this challenging pediatric eye condition.

Main Methods:

  • Systematic PubMed search using keywords: pediatric blepharokeratoconjunctivitis, pediatric ocular rosacea, pediatric phlyctenular disease, pediatric phlyctenular keratoconjunctivitis, and pediatric blepharokeratitis.
  • Review of current medical literature on PBKC management.

Main Results:

  • Current management involves a combination of eyelid hygiene, topical/systemic antibiotics, and anti-inflammatory agents.
  • The expanding range of treatments presents challenges for clinicians.
  • Multimodal strategies targeting inflammation and timely amblyopia treatment are key.

Conclusions:

  • Early and comprehensive treatment is essential for preventing vision loss in pediatric blepharokeratoconjunctivitis.
  • A multimodal approach addressing eyelid and ocular surface inflammation is recommended.
  • Integration of amblyopia management is critical for optimal outcomes.

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