[Congenital corneal anesthesia in children: diagnostic and therapeutic problems].
Congenital corneal anesthesia (CCA) is an uncommon condition difficult to diagnose. We report the case of a 9-month-old girl who presented bilateral congenital corneal anesthesia. The child had a corneal ulcer which had been unresponsive to adapted local treatment. Self-inflicted corneal injuries were present. Local treatment and arm splints led to quick healing. CCA occurs either alone or in association with neurological diseases (familial dysautonomia) or systemic congenital abnormalities (Goldenhar Gorlin syndrome). It is important to search for corneal anesthesia in children with chronic ulcerations of the cornea and self-inflicted injuries. Early diagnosis is important due to the risk for the visual prognosis. Short and longterm prevention of self-inflicted corneal injuries should be associated with a local treatment to assure rapid healing and a relapse free outcome.
Momtchilova
M
M
Service d'Ophtalmologie.
Pelosse
B
B
Mathieu
S
S
Laroche
L
L
Billette de Villemeur
T
T
D003316:Corneal Diseases / Q000175:diagnosis*; D065306:Corneal Injuries; D003320:Corneal Ulcer / Q000175:diagnosis; D003937:Diagnosis, Differential; D005145:Face / Q000002:abnormalities; D005260:Female; D006053:Goldenhar Syndrome / Q000175:diagnosis; D006801:Humans; D007223:Infant; D000699:Pain Insensitivity, Congenital / Q000175:diagnosis*; D011379:Prognosis; D012652:Self Mutilation / Q000175:diagnosis / Q000517:prevention & control