The Epidemiological Profile Of Children Corneal Abscesses In The Pediatric Ophthalmology Department Of Casablanca

The aim of our work is to study the epidemiological profile of corneal abscesses in children.

Pediatric ophthalmology department. August 20, 1953 hospital. CASABLANCA. MOROCCO

This is a retrospective study of 53 children admitted for corneal abscess to the pediatric ophthalmology department of the August 20, 1953 hospital in Casablanca (Morocco) over a period from January 2017 to September 2022.
The average age of our patients is 6 years with extremes of 2 months–15 years, a male predominance of 55%, the affected eye is the right eye in 67%. The functional signs are dominated by redness followed by photophobia and ocular pain.

The risk factors are dominated by ocular trauma at 51% followed by ocular surface pathologies at 37%.On examination,visual acuity is difficult to quantify in more than half of the cases. And less than 1/10 in 22%. The seat is axial in almost half of the cases. 
Size varies 1-3mm 25% 3-6mm 40% >6mm 35%.A tyndall was encountered in 9% of cases.Biological samples were taken in 83% and returned sterile in half of the cases with a predominance of gram positive germs (90%). 
The treatment is based on: Local and general antibiotic therapy: 53 cases (100%), Antifungals: 6 cases(11%), General antivirals: 7 cases(13%), Intravitreal injections: 5 cases (9%), Surgery : corneal patch: 4 cases (8%), Blepharorraphy: 2 cases (4%), Evisceration: 1 case (2%). 

The evolution is favorable under treatment (85%) with persistence of corneal scarring opacity. We encountered complications such as endophthalmitis in 5 cases, corneal perforation in 4 cases and descemetocele in 3 cases.
The management of bacterial keratitis is based on a prior analysis of the risk factors, the mode of infestation, an appropriate search for the germ in question. 
Success depends above all on the precocity and quality of the first treatment. 
We emphasize the prevention of eye injuries in children.