Pediatric Chalazion Case Report
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Abstract
Background and Objectives
A chalazion, also known as a stye, is a common and chronic inflammatory problem of the eyelids where one or more Meibomian glands are blocked. Previous studies have shown that a chalazion is a sign of Meibomian Gland Dysfunction (MGD) and evaporative dry eye disease. The prevalence of chalazia in the pediatric population has recently been noted. In this report, we will describe two pediatric cases of chalazion that are associated with MGD and related dry eye disease.
Methods
This is a case report of non-genetically related 7-year-old and 16-year-old patients as they were each seen for newly developed chalazia.
Results
External exam in both patients showed chalazia, waxy plugs and poor Meibomian gland expression. Meibography showed shorten, truncated, and dilated Meibomian glands with rapid tear break-up times leading to the diagnosis of evaporative dry eye disease due to MGD.
Conclusion
These cases serve to confirm an increase in the prevalence of MGD in the pediatric population and to emphasize the need for early screening for dry eye disease.
Key Words: Chalazion - Meibomian gland dysfunction - Pediatric Dry Eye Disease
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References
2. Nelson JD, Shimazaki J, Benitez-del-Castillo JM, et al. The international workshop on meibomian gland dysfunction: report of the definition and classification subcommittee. Invest Ophthalmol Vis Sci. 2011;52(4):1930–1937.
3. Bron AJ, Tiffany JM. The contribution of meibomian disease to dry eye. Ocul Surf. 2004;2:149 –165.
4. Heiligenhaus A, Koch JM, Kemper D, Kruse FE, Waubke TN. [Therapy in tear film deficiencies]. Therapie von Benetzungsstorungen. Klin Monatsbl Augenheilkd. 1994;204:162–168.
5. Gupta PK, Stevens MN, Kashyap N, Priestley Y. Prevalence of Meibomian Gland Atrophy in a Pediatric Population. Cornea. 2018;37(4):426-430. doi:10.1097/ICO.0000000000001476.
6. Linton RG, Curnow DH, Riley WJ. The meibomian glands: An investigation into the secretion and some aspects of the physiology. Br J Ophthalmol. 1961;45:718–723.
7. Tiffany J M, Dart J K G. Normal and abnormal functions of meibomian gland secretions. Roy Soc Med Int Cong Symp Ser 1981;40:1061-4. [0067]
8. Arita R, Itoh K, Inoue K, Kuchiba A, Yamaguchi T, Amano S. Contact lens wear is associated with decrease of meibomian glands. Ophthalmology. 2009;116:379–384
9. Straatsma BR. Cystic Degeneration of the Meibomian Glands. AMA Arch Ophthalmol. 1959;61:918–927.
10. Pult H, Riede-Pult B. Comparison of subjective grading and objective assessment in meibography. Cont Lens Anterior Eye. 2013;36:22–27.
11. Arita R, Itoh K, Maeda S, et al. Association of contact lens-related allergic conjunctivitis with changes in the morphology of Meibomian glands. Jpn J Ophthalmol. 2012;56:14–19.