CORNEAL ABSCESSES IN CHILDREN EXPERIENCE OF THE PEDIATRIC OPHTHALMOLOGY DEPARTMENT, HÔPITAL 20 AOÛT, CHU IBN ROCHD, CASABLANCA
Published 2024 - 28th ESCRS Winter Meeting
Reference: P115 | Type: Submission | DOI: 10.82333/wzfv-mq72
Authors: Ali Rami* 1 , Ghizlane Daghouj 2 , Naoual Mtalai 2 , Sara Ettouri 3 , Zyad Laftimi 3 , Loubna Elmaaloum 2 , Bouchra Allali 2 , Asmaa El Kettani 2
1paediatric ophthalmology department ,The University Hospital Centre IBN ROCHD ,20 August Hospital ,Casablanca,Morocco, 2Paediatric ophthalmology department ,The University Hospital Centre IBN ROCHD ,20 August Hospital ,Casablanca,Morocco, 3paediatric ophthalmology department ,The University Hospital Centre IBN ROCHD ,20 August Hospital ,Casablanca,Morocco
Purpose
Corneal abscesses in children are a diagnostic and therapeutic emergency.
It’s a serious and potentially blinding pathology, especially in children.
The management of corneal abcesses must be early, oriented and adapted to avoid the occurrence of serious complications
Studies of corneal abscesses in children are rare. Infectious keratitis in children accounts for 11% of all cases of microbial keratitis.
Diagnostic difficulties, the importance of the frequently associated inflammatory reaction, and the risk of secondary amblyopia are the distinguishing features of corneal abscesses in children.
The aim of our study is to describe the epidemiological, clinical, therapeutic and evolutionary aspects of corneal abscesses in children.
Setting
We established an exploitation sheet after carrying out bibliographic research. The sheet includes anamnestic, clinical, paraclinical, therapeutic and prognostic data .
Methods
This is a retrospective study within the pediatric ophthalmology department of the August 20 hospital of CHU Ibn Rochd in Casablanca Morocco; on a series of 53 children (53 eyes) from a period ranging from June 2018 to June 2023 .
Results
The median age of diagnosis in our study was 6 years. There was a minimal male predominance and 80 % of our patients were of rural origin.
The average consultation time was 9 days, and the right eye was the most affected. Ocular trauma accounted for more than half of the risk factors, and the triad of photophobia, redness and ocular pain dominated the functional signs.
On examination, in more than half the cases, visual acuity was difficult to assess, and in almost a quarter it was less than 1/10. Nearly half the abscesses were axial, 34% of which were extensive.
The lesions were scraped in 83% of cases, and returned sterile in half of them, with a predominance of gram-positive germs.
All patients received general and local antibiotic therapy, 6 cases were treated with antifungals and 7 cases (13% of cases) received general antivirals. Patients with endophthalmitis received IVT antibiotics.
Progression was favorable in 85% of cases. We noted endophthalmitis in 6% of cases, corneal perforation in 5% and descemetocele in 4%.
Conclusion
Management of infectious keratitis is based on a prior analysis of risk factors, the mode of infestation, and an appropriate search for the causative germ. Success thus depends above all on the earliness and quality of the first treatment.
We insist on the prevention of ocular trauma in children.