A Case of Early Keratoconus Associated with Eye Rubbing in a Young Child
Abstract Introduction Keratoconus usually presents during puberty and is considered rare in young children. Methods Case report with clinical findings and computerized corneal tomography. Results We report the case of an 8-year-old girl with early bilateral keratoconus who presented with allergic co...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Adis, Springer Healthcare
2020-06-01
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| Series: | Ophthalmology and Therapy |
| Subjects: | |
| Online Access: | https://doi.org/10.1007/s40123-020-00264-8 |
| _version_ | 1797199608696274944 |
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| author | Victoria Dimacali Miltos Balidis Aspasia Adamopoulou Athina Kozei Nikolaos Kozeis |
| author_facet | Victoria Dimacali Miltos Balidis Aspasia Adamopoulou Athina Kozei Nikolaos Kozeis |
| author_sort | Victoria Dimacali |
| collection | DOAJ |
| description | Abstract Introduction Keratoconus usually presents during puberty and is considered rare in young children. Methods Case report with clinical findings and computerized corneal tomography. Results We report the case of an 8-year-old girl with early bilateral keratoconus who presented with allergic conjunctivitis and persistent eye rubbing. Although our patient did not exhibit steep keratometry, early cones and inferotemporal thinnest corneal thicknesses were detected in both eyes using Scheimpflug imaging (Oculus GmbH Pentacam, Wetzlar, Germany). Belin/Ambrósio total D values were 1.85 on the right and 2.11 on the left. Improvement in best-corrected visual acuity was noted after treatment of allergic eye disease, and corneal tomographic findings remained stable 4 months after initial consult. Conclusion This is a case of early diagnosed keratoconus in a young patient. Diagnosis of this condition in young children is challenging, as these patients are less likely to report visual complaints, and clinical examination is usually unremarkable. Keratoconus screening should be considered in children with atopy and eye rubbing behavior regardless of age, even in those with no other associated pathology and with negative family history. |
| first_indexed | 2024-04-24T07:18:28Z |
| format | Article |
| id | doaj.art-66a0b3939a5a4dea97e00f0a236bf0a4 |
| institution | Directory Open Access Journal |
| issn | 2193-8245 2193-6528 |
| language | English |
| last_indexed | 2024-04-24T07:18:28Z |
| publishDate | 2020-06-01 |
| publisher | Adis, Springer Healthcare |
| record_format | Article |
| series | Ophthalmology and Therapy |
| spelling | doaj.art-66a0b3939a5a4dea97e00f0a236bf0a42024-04-21T11:11:31ZengAdis, Springer HealthcareOphthalmology and Therapy2193-82452193-65282020-06-019366767610.1007/s40123-020-00264-8A Case of Early Keratoconus Associated with Eye Rubbing in a Young ChildVictoria Dimacali0Miltos Balidis1Aspasia Adamopoulou2Athina Kozei3Nikolaos Kozeis4Ophthalmica Institute of Ophthalmology and MicrosurgeryOphthalmica Institute of Ophthalmology and MicrosurgeryOphthalmica Institute of Ophthalmology and MicrosurgeryOphthalmica Institute of Ophthalmology and MicrosurgeryOphthalmica Institute of Ophthalmology and MicrosurgeryAbstract Introduction Keratoconus usually presents during puberty and is considered rare in young children. Methods Case report with clinical findings and computerized corneal tomography. Results We report the case of an 8-year-old girl with early bilateral keratoconus who presented with allergic conjunctivitis and persistent eye rubbing. Although our patient did not exhibit steep keratometry, early cones and inferotemporal thinnest corneal thicknesses were detected in both eyes using Scheimpflug imaging (Oculus GmbH Pentacam, Wetzlar, Germany). Belin/Ambrósio total D values were 1.85 on the right and 2.11 on the left. Improvement in best-corrected visual acuity was noted after treatment of allergic eye disease, and corneal tomographic findings remained stable 4 months after initial consult. Conclusion This is a case of early diagnosed keratoconus in a young patient. Diagnosis of this condition in young children is challenging, as these patients are less likely to report visual complaints, and clinical examination is usually unremarkable. Keratoconus screening should be considered in children with atopy and eye rubbing behavior regardless of age, even in those with no other associated pathology and with negative family history.https://doi.org/10.1007/s40123-020-00264-8Allergic conjunctivitisAtopyCorneal tomographyEye rubbingKeratoconusPediatric keratoconus |
| spellingShingle | Victoria Dimacali Miltos Balidis Aspasia Adamopoulou Athina Kozei Nikolaos Kozeis A Case of Early Keratoconus Associated with Eye Rubbing in a Young Child Ophthalmology and Therapy Allergic conjunctivitis Atopy Corneal tomography Eye rubbing Keratoconus Pediatric keratoconus |
| title | A Case of Early Keratoconus Associated with Eye Rubbing in a Young Child |
| title_full | A Case of Early Keratoconus Associated with Eye Rubbing in a Young Child |
| title_fullStr | A Case of Early Keratoconus Associated with Eye Rubbing in a Young Child |
| title_full_unstemmed | A Case of Early Keratoconus Associated with Eye Rubbing in a Young Child |
| title_short | A Case of Early Keratoconus Associated with Eye Rubbing in a Young Child |
| title_sort | case of early keratoconus associated with eye rubbing in a young child |
| topic | Allergic conjunctivitis Atopy Corneal tomography Eye rubbing Keratoconus Pediatric keratoconus |
| url | https://doi.org/10.1007/s40123-020-00264-8 |
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