Staphyloccocal blepharokeratoconjunctivitis at pediatric age Blefaroqueratoconjuntivitis estafilocócica en la edad pediátrica
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© 2014 Sociedad Mexicana de Oftalmología. Published by Masson Doyma México S.A. Objective: To describe the symptoms, ocular manifestations and visual outcome of staphylococcal blepharokeratoconjunctivitis in a pediatric population. Methods: Retrospective, observational and descriptive study, of patients under 18 years of age seen at Instituto de Oftalmología y Ciencias Visuales del Tecnológico de Monterrey. Demographic data, ocular symptoms, palpebral, conjunctival and corneal signs, as well as visual acuity were analyzed. Results: A total of 114 patients were included in the study. The male-to-female ratio was 1:1, and the mean age at diagnosis was 9.3 (SD ± 4.2) years. More frequent symptoms found were red eyes, palpebral itching and photophobia. Collarettes, conjunctival hyperemia, eyelid margin erythema, conjunctival papillary reaction and chalazia were the most common clinical findings. Corneal involvement was seen in 39.5% of cases. Mean initial visual acuity was 20/28 (0.16 LogMAR), which decreased significantly in patients with corneal involvement (P = 0.006). Conclusions: Even though staphylococcal blepharokeratoconjunctivitis is a frequent disorder of childhood, in the majority of cases is underdiagnosed. Early and adequate therapy is necessary to prevent serious visual loss.