Gunes Alime, Tok Levent, Tok Özlem, Seyrek Lütfi
a Department of Ophthalmology , Süleyman Demirel University , Isparta , Turkey.
Semin Ophthalmol. 2015;30(5-6):454-6. doi: 10.3109/08820538.2013.874480. Epub 2014 Feb 7.
We present the case of a four-year-old girl with bilateral keratoconus secondary to chronic persistent eye rubbing. She was referred to our clinic with intractable ocular itching and low vision. According to her family, she was generally rubbing her eyes. On slit-lamp biomicroscopic examination, bilateral papillary reactions were seen on the upper tarsal conjunctiva. Clinical examination and corneal topography were compatible with keratoconus. The patient's visual acuity was not evaluated because of cooperation difficulties. Systemic examination was normal. In fact, trauma may be the common underlying factor in eye rubbing and may cause development of keratoconus, even in the early years. To the best of our knowledge, this is the youngest patient with bilateral keratoconus secondary to chronic persistent eye rubbing in the literature. Keratoconus should be kept in mind in patients with severe ocular itching, even in small children.
我们报告一例4岁女童，因慢性持续性揉眼继发双侧圆锥角膜。她因顽固性眼痒和视力低下转诊至我们的诊所。据其家人称，她经常揉眼睛。裂隙灯生物显微镜检查发现双侧上睑结膜有乳头反应。临床检查和角膜地形图与圆锥角膜相符。由于配合困难，未对患者的视力进行评估。全身检查正常。事实上，外伤可能是揉眼的常见潜在因素，甚至在早年就可能导致圆锥角膜的发展。据我们所知，这是文献中最年轻的因慢性持续性揉眼继发双侧圆锥角膜的患者。即使是幼儿，有严重眼痒的患者也应考虑圆锥角膜。
