Abstract ID: 26-321
Early Recognition and Timely Intervention: A Pediatric Oculoplastic Case Trilogy
Author: Iulia Nemes-Dragan Base Hospital / Institution: County Hospital Cluj-Napoca Romania
Presentation Type: ePoster Presentation
Purpose
Pediatric oculoplastic conditions can lead to permanent functional impairment if not recognized and treated promptly. We present three cases — traumatic, autoimmune, and infectious — in which early diagnosis and timely surgical intervention were decisive.
Methods
Case 1: A 2-year-old male presented two days after inferior eyelid trauma with a metal hanger. Examination revealed complete inferior canalicular transection, reconstructed with a Masterka silicone tube. Epiphora resolved within two days postoperatively.Case 2: A 19-month-old male had a 5-month history of bilateral purulent discharge unresponsive to local treatment. He developed photophobia from corneal ulceration secondary to cicatricial entropion, with perioral skin and oral mucosal lesions. Direct immunofluorescence of a perilesional biopsy confirmed Linear IgA Dermatosis. Dapsone was initiated and bilateral tarsal wedge resection performed, with clinical improvement.Case 3: A 17-year-old female presented with bilateral severe blepharitis and right lower eyelid ectropion. Biopsy identified coinfection with Enterococcus faecalis and Demodex folliculitis. Lateral tarsal strip was performed alongside targeted medical treatment, with stable eyelid position at follow-up.
Results
These cases span a wide etiological spectrum — trauma, autoimmune disease, and mixed infection — each requiring a distinct diagnostic approach and early surgical decision. Canalicular injuries demand urgent microsurgical repair; cicatricial entropion in rare dermatoses requires multidisciplinary management; infectious ectropion necessitates microbiological workup before definitive surgery.
Conclusion
In pediatric oculoplastic disease, early recognition and prompt intervention are essential to prevent irreversible ocular damage. These cases reinforce the need for clinical vigilance, interdisciplinary collaboration, and timely surgical management in children.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Bercea | Cristina | County Hospital Cluj-Napoca |
| Vladuti | Cristina | County Hospital Cluj-Napoca |