CORNEAL ULCER ASSOCIATED WITH BLEPHARITIS, LATENT HERPES SIMPLEX VIRUS INFECTION AND DYSBACTERIOSIS OF INTESTINE IN CHILDREN (A CASE REPORT)

Abstract

Purpose. Blepharitis is a chronic inflammatory disease of the eyelid edge. Intestinal dysbacteriosis is one of the predisposing factors of blepharitis. In turn, the blepharitis of long standing can cause the development of chronic keratitis. Therefore, a comprehensive treatment of blepharitis, keratitis and pathology of the digestive tract is pathogenetically justified approach to the treatment in this case. Material and methods. The patient, 7 years old, with keratoconjunctivitis associated with chronic blepharitis was examined. Blepharitis was developed on the background of intestinal dysbacteriosis and latent flow of herpetic infection. Complex therapy of blepharitis, keratitis and intestinal dysbacteriosis was administrated to this patient. Results. In the result of complex treatment within a month there was the absence of blepharitis symptoms, a significant decrease in corneal infiltration, a clear border infiltration, the absence of neovascularization. Conclusions. Children with keratoconjunctivitis, associated with chronic blepharitis that developed against the background of intestinal dysbacteriosis, should be administrated with protracted course of therapy. It should be directed on restoration of the tear film, eyelid hygiene and mild gastrointestinal diseases.

Keywords

• blepharitis
• keratitis
• corneal ulcer
• intestinal dysbacteriorsis
• herpes