Jump to content

PubMed RSS Feed - -Phlyctenular keratoconjunctivitis in a patient with Staphylococcal blepharitis and ocular rosacea.


Recommended Posts

Related Articles

Phlyctenular keratoconjunctivitis in a patient with Staphylococcal blepharitis and ocular rosacea.

Optometry. 2008 Mar;79(3):133-7

Authors: Neiberg MN, Sowka J

BACKGROUND: Phlyctenular keratoconjunctivitis is a type IV hypersensitivity reaction to an inciting agent. The presentation is usually bilateral. The diagnosis can be difficult, especially if compounded by an underlying skin disorder such as rosacea. The 2 types of phlyctenules are differentiated based on the location on the eye, i.e., conjunctival or corneal. CASE REPORT: A 22-year-old man presented with painful, bilateral, elevated vascularized corneal lesions. Ultimately, the diagnosis was bilateral phlyctenular keratoconjunctivitis secondary to concurrent posterior blepharitis and recurrent ocular rosacea. The patient was treated with topical steroids and followed up with until his lids and corneas stabilized. He was then maintained with oral doxycycline and cyclosporine ophthalmic emulsion 0.5%. Lid hygiene and maintenance is a key factor in the course of the disease. CONCLUSION: Phlyctenular keratoconjunctivitis usually responds well to topical steroids, but any inciting agents should be identified and treated. Complications include corneal scarring, thinning, and perforation. Staphylococcus aureus is a common culprit, and tuberculosis as a possible cause should also be considered.

PMID: 18302955 [PubMed - in process]

http://www.ncbi.nlm.nih.gov/entrez/query.f...p;dopt=Abstract = URL to article

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
  • Create New...

Important Information

Terms of Use