title: The Youngest Patient with Bilateral Keratoconus Secondary to Chronic Persistent Eye Rubbing.
abstract: We present the case of a four-year-old girl with bilateral keratoconus secondary to chronic persistent eye rubbing. She was referred to our clinic with intractable ocular itching and low vision. According to her family, she was generally rubbing her eyes. On slit-lamp biomicroscopic examination, bilateral papillary reactions were seen on the upper tarsal conjunctiva. Clinical examination and corneal topography were compatible with keratoconus. The patient's visual acuity was not evaluated because of cooperation difficulties. Systemic examination was normal. In fact, trauma may be the common underlying factor in eye rubbing and may cause development of keratoconus, even in the early years. To the best of our knowledge, this is the youngest patient with bilateral keratoconus secondary to chronic persistent eye rubbing in the literature. Keratoconus should be kept in mind in patients with severe ocular itching, even in small children.
authors: a Department of Ophthalmology , Süleyman Demirel University , Isparta , Turkey.
authors: Alime
authors: A
authors: Gunes
authors: a Department of Ophthalmology , Süleyman Demirel University , Isparta , Turkey.
authors: Levent
authors: L
authors: Tok
authors: a Department of Ophthalmology , Süleyman Demirel University , Isparta , Turkey.
authors: Özlem
authors: Ö
authors: Tok
authors: a Department of Ophthalmology , Süleyman Demirel University , Isparta , Turkey.
authors: Lütfi
authors: L
authors: Seyrek
mesh_terms: D002675:Child, Preschool; D019781:Corneal Topography; D005260:Female; D006801:Humans; D007429:Intraocular Pressure; D007640:Keratoconus / Q000175:diagnosis / Q000209:etiology*; D008405:Massage / Q000009:adverse effects*; D042262:Retinoscopy; D014786:Vision Disorders / Q000175:diagnosis / Q000209:etiology; D014792:Visual Acuity
keywords: Bilateral keratoconus; eye rubbing; keratoconus