Superficial punctate keratopathy in a pediatric patient was related to adenoid hypertrophy and obstructive sleep apnea syndrome: a case report

BMC Ophthalmology
Ying-Ying GaoYou Wu

Abstract

Known causes of superficial punctuate keratopathy (SPK) in children include entropion, viral infection, blepharokeratoconjunctivitis (BKC), and toxicity of eye drops. However, there are some SPK patients whose causes could not be identified well. Herein, we describe the history, diagnosis, treatment, and prognosis of a rare case. To report a case of superficial punctate keratopathy (SPK) which coexisted with floppy eyelid syndrome (FES) and presented as intermittent red eye and blurred vision in an 11-year-old boy who slept in the prone position. His condition did not improve despite treatment with topical antibiotics (levofloxacin, tobramycin), steroid eye drops (prednisolone), and artificial tears. The patient was diagnosed with tonsil hypertrophy and nasopharyngeal adenoid hypertrophy and obstructive sleep apnea syndrome (OSAS). He underwent tonsillectomy and adenoidectomy. Then he started sleeping in the supine position postoperatively. The SPK, red eye and blurred vision completely resolved after surgery without additional treatment. The corneal sensation also recovered gradually during the next 7 years. However, the floppy eyelid did not resolve. Recurrent SPK of childhood might be related to tonsil hypertrophy, adenoid h...Continue Reading

References

Oct 1, 1981·American Journal of Ophthalmology·W W Culbertson, H B Ostler
May 15, 1994·American Journal of Ophthalmology·S S HayrehW L Alward
May 18, 1999·Ophthalmology·D S MojonJ Mathis
Sep 21, 2004·The British Journal of Dermatology·R BilenchiM Fimiani
Mar 26, 2005·Investigative Ophthalmology & Visual Science·Daniel Tzong-Shyue LiuScheffer C G Tseng
Nov 24, 2005·Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association·Leonid Skorin
May 18, 2006·Klinische Monatsblätter für Augenheilkunde·W Bernauer, U M Langenauer
Jun 16, 2009·Journal français d'ophtalmologie·G Leroux les JardinsG Soubrane
Jan 6, 2010·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Atul Kumar JainSteven Schwartz
Feb 5, 2013·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Paula CasasJosé A Cristóbal
Feb 25, 2015·Journal of Ocular Pharmacology and Therapeutics : the Official Journal of the Association for Ocular Pharmacology and Therapeutics·Takashi KanamotoUNKNOWN Ocular Surface Disease and Glaucoma Study Group

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