DIFFICULTIES IN DIAGNOSIS AND TREATMENT OF CHALAZIA IN CHILDREN. CASE REPORT
Chalazion is a granulomatous inflammation caused by blocking the Meibomian glands, which affect the eyelids, predominantly the upper ones. The purpose of this article is to highlight the clinical and histopathological aspects of chalazia at children. This paper is a retrospective study of a child, 3-year-old, who presents with multiple upper and lower eyelid chalazia in both eyes, mechanical ptosis, blepharospasm and ocular pain. The history of the disease begins 2 months ago with the initial RE (right eye), for which it received general antibiotic and local treatment for 10 days with unfavorable evolution. The child was subsequently examined by another physician recommending topical treatment with Sinerdol (Rifampicin) and Dexamethasone, and empirical treatment consisting of applying a wooden spoon to injuries and hot compresses. Inappropriate treatment has led to an unfavorable evolution, and its continuing may lead to several local complications. After attempting to identify other etiologies, surgical excision was performed with slow favorable evolution. Postoperatively, general and local antibiotic and anti-inflammatory treatment with slow development was recommended. Appropriate treatment initiated from onset would have limited the extension of the chalazia; with the possibility of avoiding the surgical risk involved in general anesthesia. Conclusions: Ophthalmologists should consider acne rosacea as a potential diagnostic for any child who has any combination of Meibomian disease, chronic blepharitis, recurrent chalazion and chronic symptoms of photophobia, eye irritation and redness that does not respond to routine medical treatment.
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