Ocular Demodicosis as a Potential Cause of Pediatric Blepharoconjunctivitis

@article{Liang2010OcularDA,
  title={Ocular Demodicosis as a Potential Cause of Pediatric Blepharoconjunctivitis},
  author={Lingyi Liang and S. Esra Safran and Ying-Ying Gao and Hosam Sheha and Vadrevu K Raju and Scheffer C. G. Tseng},
  journal={Cornea},
  year={2010},
  volume={29},
  pages={1386-1391}
}
PURPOSE To report Demodex infestation in pediatric blepharoconjunctivitis. [] Key MethodMETHODS A retrospective review of 12 patients, with ages from 2.5-11 years, with chronic blepharoconjunctivitis who failed to respond to conventional treatments. Demodex was detected by lash sampling and microscopic examination. Patients were treated with 50% tea tree oil (TTO) eyelid scrubs or 5% TTO ointment eyelid massages for 4-6 weeks.
View on Wolters Kluwer
eyefoundationofamerica.org
43 Citations
Highly Influential Citations
5
Background Citations
16
Methods Citations
4

43 Citations

Citation Type

Citation Type

Demodex blepharokeratoconjunctivitis affecting young patients: A case series
TLDR
Demodex infestation of eyelids can lead to chronic blepharokeratoconjunctivitis in healthy pediatric and young adult patients who otherwise have good hygiene, which can often be overlooked or misdiagnosed.
Ocular Demodicidosis as a Risk Factor of Adult Recurrent Chalazion
TLDR
Treatment of TTO was found to be associated with preventing recurrence of chalazion associated with Demodex infestation, and the possibility of demodicidosis should be considered in adults presenting with recurrent Chalazia.
Potential Role and Significance of Ocular Demodicosis in Patients with Concomitant Refractory Herpetic Keratitis
TLDR
Ocular demodicosis should be considered in patients with unstable recurrent herpetic keratitis, after treatment of Demodex blepharitis, which showed deterioration of corneal melting into descemetocele,Corneal perforation, recalcitrant stromal infiltration/uveitis, and uncontrollable IOP, despite antiherpetic medication.
Significant correlation between meibomian gland dysfunction and keratitis in young patients with Demodex brevis infestation
TLDR
There is a significant correlation between MGD and keratitis in young patients with ocular demodicosis especially inflicted by D. brevis.
Pathogenic role of Demodex mites in blepharitis
TLDR
Tea tree oil shows promising potential to treat Demodex blepharitis by reducing DemodEx counts with additional antibacterial, antifungal, and anti-inflammatory actions.
Occurrence of Demodex species in patients with blepharitis and in healthy individuals: a 10-year observational study
TLDR
The prevalence of ocular demodicosis is significantly correlated with blepharitis and increases with age, and the presence of Demodex infection increased with age in both groups.
Prevalence and Load of Demodex folliculorum and Demodex brevis (Acari: Demodicidae) in Patients With Chronic Blepharitis in the Province of Erzincan, Turkey
TLDR
There was a positive correlation between Demodex mites and chronic blepharitis and ocular symptoms and it may be helpful to consider these findings in clinical assessment of blephritis patients.
Ocular demodicosis as a risk factor of pterygium recurrence.
Evaluation of the ocular surface characteristics and Demodex infestation in paediatric and adult blepharokeratoconjunctivitis
TLDR
Ocular Demodex infestation was associated with worse lid margin inflammation and meibomian gland dysfunction, which may be caused by a long-delayed diagnosis in children with BKC.
Managing blepharokeratoconjunctivitis in children: a review
TLDR
The clinical presentation of BKC in children, available treatment modalities and a preferred stepwise management algorithm are discussed, and all the major series on childhood BKC reported in the literature are discussed.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 41 REFERENCES
Corneal manifestations of ocular demodex infestation.
Clinical Treatment of Ocular Demodecosis by Lid Scrub With Tea Tree Oil
TLDR
Lid scrub with TTO can effectively eradicate ocular Demodex and result in subjective and objective improvements, and warrants future prospective investigation of DemodEx pathogenicity.
Diagnosis and management of chronic blepharokeratoconjunctivitis in children.
TLDR
Blepharokeratoconjunctivitis in childhood is a chronic inflammatory process that can have different presentations and can be successfully treated with oral erythromycin and topical steroids.
Blepharokeratoconjunctivitis in children: diagnosis and treatment
Aim: Blepharokeratoconjunctivitis (BKC) is a poorly described entity in children. This study characterises this syndrome in childhood and evaluates epidemiology, clinical grading, and treatment…
Oral erythromycin treatment for childhood blepharokeratitis.
  • D. Meisler, M. Raizman, E. Traboulsi
  • Medicine
    Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
  • 2000
TLDR
The successful treatment of this condition with oral erythromycin in 5 children is reported on, and the use of tetracycline and its analogues is contraindicated in children aged less than 8 years because it may cause dental enamel abnormalities.
Comparison of incidence of Demodex folliculorum on the eyelash follicule in normal people and blepharitis patients.
TLDR
The incidence of Demodex folliculorum was high in patients with blepharitis compared with normal controls and high in males and anti-Demodex treatment is indicated when the parasite is found.
[Blepharitis due to Demodex: myth or reality?].
TLDR
A prospective study of eyelashes finds that Demodex should be considered as the cause of chronic blepharitis and anti-Demodex treatment is indicated when the parasite is found.
Rosacea‐Like Demodicidosis in an Immunocompromised Child
TLDR
A 4‐year‐old boy who developed asymptomatic facial lesions that histologically corresponded to demodicidosis was described, who was in clinical remission of acute lymphoblastic leukemia and currently receiving maintenance chemotherapy.
Visual outcome and corneal changes in children with chronic blepharokeratoconjunctivitis.
Blépharite à Démodex: mythe ou réalité?
TLDR
A prospective study of eyelashes finds that Demodex should be considered as the cause of chronic blepharitis and anti-Demodex treatment is indicated when the parasite is found.
...
1
2
3
4
5
...