|
목적 : To describe characteristics of patients diagnosed with presumed ocular rosacea (POR) in children and young adults who have no history of having diagnosed with dermatologic rosacea.
방법 : Clinical records of patients <30 years old diagnosed with POR seen between 2010 and 2016 were reviewed and twenty patients with POR were enrolled in a retrospective observational case series. Outcome measures included patient demographics, laterality, ocular manifestation, follow up periods, and treatment. Patients were graded as having mild (peripheral corneal involvement without scarring), moderate (peripheral scarring), or severe (central scarring) disease based on clinical findings.
결과 : Twenty patients were enrolled. The mean age at presentation was 15.5 years (6-25), and 13 (65%) were female. All the patients had blepharitis and 11 (55%) had a history of recurrent chalazion. The mean cylinderic power of involved eyes was -2.44 diopter (D). At the last follow up, 15 (75%) patients had corneal opacity. All had taken systemic antibiotics (doxycycline, 16; clarithromycin, 3; and azithromycin, 1). Most patients had moderate (45%), followed by severe (30%), and mild (25%) disease. Patients who were older at presentation and longer disease duration tend to have severe disease.
결론 : Eyes with POR may have corneal opacity and astigmatism that could affect visual acuity. POR patients who were older at presentation and longer disease duration may have severe disease activity. Systemic antibiotics may be used with caution in children and young adults with POR. Early detection and treatment can minimize visual morbidity.
|