Name

Rosacée oculaire chez les enfants: au but d'un cas

Ocular rosacea in children with only monocular involvement

4-year-old patient with red eye of several weeks of evolution.

The patient presented palpebral and conjunctival involvement of several weeks of evolution with oily tear film, thick meibomian secretion, recurrent chalazion, conjunctival hyperemia and corneal infiltrates in the perilimbic area that did not remit, they were interpreted as an infectious process and that after several nonspecific antimicrobial treatments with no result, he came to our ophthalmology consultation. After a treatment with eyelid hygiene and meibomian gland massage, the conjunctival and corneal signs improved, minimizing the eyelid.

Rosacea mainly affects adults with clinical involvement of the skin of the convex areas of the face. In some cases it presents ocular involvement. In 20% of the cases in this population, it begins with ocular involvement and, later, a skin manifestation may appear. In the initial stages, blepharitis and blephatoconjunctivitis with initial corneal involvement, as in this case, eyelid hygiene treatment is recommended, which is what was performed in this case, remitting the signs.

The differential diagnosis of this process compared to other processes in the anterior segment of the eye is essential so that it does not become chronic and does not affect the cornea due to the risk of decreased visual acuity that this entails.