Recurrent chalazia revealing an ocular rosacea in a child

Abstract EN

Chalazion in childhood and early adolescence is a common condition frequently seen in ophthalmic practice.

The diagnosis is usually straightforward and surgical treatment by incision and curettage is frequently advised.

Emphasis on the cause of this common pathology is often overlooked.

We present a case of recurrent chalazion in a 14-year-old female, which was associated with ocular rosacea.

Ophthalmologic examination confirmed recurrence of chalazion, severe bilateral blepharitis and involvement of cornea with the presence of infiltration and neovascularization.

The patient was treated with doxycycline 100 mg once a day and topical steroid treatment.

The follow-up was marked by partial remission of the disease with frequent relapses.

Topical azithromycin 1.5% was used and the ocular inflammation was quickly resolved.

One year after discontinuation of local therapy with azithromycin, the patient remained recurrence free.