Post

New research · Ophthalmology
Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 1d
Cohort studyJournal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2026

Characterizing pediatric blepharokeratoconjunctivitis in an underserved urban setting.

Matthew E Wei, Joann J Kang
Read paper
OphthalmologyCohort study

Pediatric blepharokeratoconjunctivitis frequently recurred after treatment, especially severe disease.

Characterizing pediatric blepharokeratoconjunctivitis in an underserved urban setting.

Matthew E Wei, Joann J Kang
Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2026
Background

Pediatric blepharokeratoconjunctivitis (pediatric blepharokeratoconjunctivitis) is a chronic inflammatory disease of the eyelid margin with secondary conjunctival and corneal involvement.

Purpose

The purpose of this study was to characterize the clinical features, visual outcomes, and treatment of pediatric blepharokeratoconjunctivitis in a diverse, underserved metropolitan community in the United States.

Methods

A retrospective study was conducted of patients 16 years old or younger diagnosed with pediatric blepharokeratoconjunctivitis, who were identified using relevant Systematized Nomenclature of Medicine - Clinical Terminology (SNOMED CT) codes and manual chart review.

n = 60 patients
62%
Results
62%
more than 6 in 10 kids saw symptoms come back after treatment
n = 60 patients
More results

Most patients were female 35 (58%) and identified as Hispanic or Latino 33 (55%).

Bilateral involvement was observed in 38 patients (63%).

The most common symptoms were eye redness 52 (87%), recurrent chalazia 38 (63%), tearing 30 (50%), and ocular itching 30 (50%).

More results

Mean age at corneal involvement was 8.3 years old, with moderate and severe cases occurring about 3 years earlier than mild ones.

“
Conclusion

The high rates of corneal complications, visual impairment, and disease recurrence in our underserved urban cohort suggest the importance of early diagnosis and consistent follow-up.

Read paper
0 comments

No comments yet. Be the first.

Related papers

LatestFoundational
Cross-sectional
44.1%
had too much homocysteine in the blood, a far larger share than in dry AMD or healthy eyes
Cohort Study
92.3%
most laser-treated eyes had a favorable eye-structure outcome
Cohort Study
56%
lost three or more lines on the eye-chart vision test
Cohort Study
50%
older patients were more likely to lose three or more lines of vision
Study
81%
trials where mask air leaks were detected blowing toward the eyes
Cohort Study
13.5%
Central retinal artery peak blood-flow speed was 13.5% lower in diabetic patients.
Study
379 +/- 156 microm
lower thickness in the central retina, checked with an eye scan
Case Report
9 of 10 eyes
eyes had better measured vision after treatment