The Youngest Patient with Bilateral Keratoconus Secondary to Chronic Persistent Eye Rubbing

Güneş, Alime; Tök, Levent; Tök, Özlem; Seyrek, Lütfi

doi:10.3109/08820538.2013.874480

Cited by 22 publications

(14 citation statements)

References 7 publications

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“…One case involved a child who also had Down syndrome, which is strongly associated with keratoconus . Another child had severe eye rubbing, which is also a known risk factor for keratoconus. The third reported case involved a child who also had a strong family history of keratoconus …”

Section: Discussionmentioning

confidence: 99%

Fifteen‐year follow‐up of a four‐year‐old with keratoconus

Meyer

2020

Clinical and Experimental Optometry

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A four-year-old girl accompanied her eightyear-old brother to an eye clinic in 2000 where he was diagnosed with keratoconus. Corneal tomography (Orbscan, Bausch & Lomb, Rochester, NY, USA) was also performed on the four-year-old (at the request of her parent) given the strong family history of keratoconus in her father and sibling. She did not have any significant medical history and her parents had not noticed any eye rubbing or problems with her vision. Visual acuity and slitlamp examination were not performed. Corneal tomography demonstrated bilateral inferior steepening with thin corneas (thinnest pachymetry 478 μm right, 465 μm left) and elevation of the posterior float (54 μm right, 63 μm left), consistent with at least subclinical keratoconus ( Figure 1A).Repeat corneal tomography was performed again at age 12 and did not show any significant changes in either eye ( Figure 1B); slitlamp examination and visual acuity were not performed.The child was not seen again until age 15 at which time the visual acuity was noted to be: right 6/5 unaided, left 6/15 (+1.00 −3.00 × 135 = 6/7.5). Corneal tomography showed signs of progressive keratoconus in the left eye with increased steepening,

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Section: Discussionmentioning

confidence: 99%

Fifteen‐year follow‐up of a four‐year‐old with keratoconus

Meyer

2020

Clinical and Experimental Optometry

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“…Now, if the child presents with a topographically evident KCN, in a relatively advanced stage, CXL most probably will be of benefit to the patient without waiting for the evidence of progression 87,91…”

Section: Patient Selectionmentioning

confidence: 99%

Patient selection for corneal collagen cross-linking: an updated review

Galvis

Tello

Ortiz

et al. 2017

OPTH

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Corneal cross-linking (CXL) is an option that in the last decade has demonstrated its efficacy and safety in halting the progression of keratoconus (KCN) and other corneal ectasias. Its indication has been extended beyond the classic definition that required evidence of KCN progression, especially in the presence of some risk factors for a possible progression (particularly the younger age). However, the results can be still somewhat variable today. There are several protocols, each with its own advantages and disadvantages. Some predictors of CXL outcome have been identified. We will review the current knowledge on patient selection for CXL, its indications, and options in special cases (such as thin corneas).

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“…Although vigorous eye rubbing seems to be a significant risk factor for keratoconus, the exact mechanism involved is still unknown [3,4,8,9]. Here we present the case of a young child with early keratoconus (EKC) with frequent eye rubbing due to allergic eye disease.…”

Section: Introductionmentioning

confidence: 98%

“…Keratoconus often presents during the second decade of life. It can be isolated or associated with other ocular and systemic disorders including vernal keratoconjunctivitis, atopy, Down syndrome, intellectual disability, and Leber congenital amaurosis [3][4][5]. However, it is considered a rare condition in young children [4,6,7].…”

Section: Introductionmentioning

confidence: 99%

A Case of Early Keratoconus Associated with Eye Rubbing in a Young Child

Dimacali

Balidis²,

Adamopoulou³

et al. 2020

Ophthalmol Ther

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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/Ambró sio 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.

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The Youngest Patient with Bilateral Keratoconus Secondary to Chronic Persistent Eye Rubbing

Cited by 22 publications

References 7 publications

Fifteen‐year follow‐up of a four‐year‐old with keratoconus

Fifteen‐year follow‐up of a four‐year‐old with keratoconus

Patient selection for corneal collagen cross-linking: an updated review

A Case of Early Keratoconus Associated with Eye Rubbing in a Young Child

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