Premium
Special features of MGD in children: how to diagnose how to treat and the French perspective on MGD
Author(s) -
BREMONDGIGNAC D,
CHIAMBARETTA F
Publication year - 2012
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2012.4275.x
Subject(s) - medicine , blepharitis , rosacea , dermatology , azithromycin , eyelid , demodex , pediatrics , surgery , antibiotics , botany , microbiology and biotechnology , acne , biology , mite
Purpose MGD in children is a common pathology. Many clinical forms need to be recognized, from mild to severe, with classical features of chalazia and blepharitis or more unusual the sight‐threatening ocular rosacea. Methods Ocular rosacea in children, secondary to severe MGD, is probably underdiagnosed meanwhile it induces major ocular discomfort. The treatment aims to eyelid hygiene, anti‐inflammatory treatment and topical steroid sparing. Results Place of heat therapy with innovative steamed goggles, topical azithromycin and topical cyclosporine with analyze of literature and clinical cases, is discussed. The French prospective clinical study performed was useful to evaluate the interest of each treatment. Conclusion Further studies with more patients are needed to a better understanding of the severe MGD. Ocular rosacea in children should be recognized early and to avoid steroid dependence and complications. Eyelid hygiene, topical anti‐inflammatory and topical cyclosporin are essential in MGD treatment for a better quality of life of the children and their parents.Commercial interest