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Japanese

Three cases of meibomitis-related keratoconjunctivitis in children Asayo Yoshinaka 1 , Hosokawa Ryo 1 , Satoshi Okimoto 1 1Department of Ophthalmology, Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital pp.547-554
Published Date 2022/4/15
DOI https://doi.org/10.11477/mf.1410214360
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Abstract Purpose:To report about three children who had meibomitis-related keratoconjunctivitis(MRKC).

Cases:Case 1 was a 5-year-old girl who had a history of recurrent corneal ulcers in the left eye. She was referred to our hospital for esotropia and amblyopia. During the first visit, her corrected visual acuity was 0.6 in the right eye and 0.3 in the left eye. Slit-lamp examination revealed plugging of the meibomian gland, conjunctival hyperemia, and opacities at the center part of the cornea in both eyes. We diagnosed MRKC. After treatment, ocular surface inflammation and meibomitis were alleviated, and her corrected visual acuity was 1.0 in the right eye. Case 2 was a 2-year-old girl who was referred to our hospital for hypotropia in the right eye. During the first visit, a slit-lamp examination revealed hyperemia of the meibomian gland, conjunctival hyperemia, and vessel invasion to the corneal lower part in both eyes. In addition, the patient's chin-down head posture was remarkable. We diagnosed MRKC. Her abnormal head position improved after treatment. Case 3 was a 5-year-old boy who was referred to us for palpebral entropion and amblyopia. During the first visit, his corrected visual acuity was 0.6 in the right eye and 1.2 in the left eye. Slit-lamp examination revealed plugging of the meibomian gland, collarette, and superficial punctate keratitis in the right eye. We diagnosed MRKC, and his corrected visual acuity was 1.0 in the right eye after treatment.

Conclusion:The present cases illustrate that abnormal head posture or amblyopia with conjunctiva hyperemia may be symptoms of MRKC in children.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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