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Type de présentationE-poster
TitreDiagnosis and treatment of ligneous conjunctivitis in a 3-month-old infant.
ButTo report a case of unilateral ligneous conjunctivitis mimicking preseptal cellulitis and successfully treated with commercially-available heparin-containing artificial tears. 
MéthodesCase report with review of the literature
RésultatsA 3-month-old girl was referred to our tertiary hospital because of acute, worsening eyelid swelling despite topical and intravenous antibiotics. During examination under general anesthesia, the swelling was found to originate from the conjunctiva, particularly the superior and inferior fornix. Multiple, wood-like fibrinous pseudomembranes were evident, consistent with ligneous conjunctivitis. After removal of the pseudomembranes covering the visual axis, topical treatment was initiated: topical antibiotics, low-dose topical steroids and frequent instillation of heparin-containing artificial tears (Hyloparin®). Histopathologic examination confirmed the predominance of fibrin within the pseudomembranes. The corneal epithelium re-epithelialised during the following days and the conjunctival lesions gradually subsided over the ensuing weeks whilst continuing heparin-containing artificial tears.
ConclusionLigneous conjunctivitis is a rare form of pseudomembranous conjunctivitis, which may mimic preseptal cellulitis. Examination under general anesthesia is of particular value in the pediatric population. Heparin-containing artificial tears (Hyloparin®) are an effective and easy first-line treatment option in this condition.
Conflit d'intérêtNon
Auteur 1
NomMERLEVEDE
InitialesV
InstitutDepartment of Ophthalmology, Ghent University Hospital, Ghent, Belgium
VilleGhent
Auteur 2
NomROELS
InitialesD
InstitutDepartment of Ophthalmology, Ghent University Hospital, Ghent, Belgium
VilleGhent
Auteur 3
NomKREPS
InitialesE
InstitutDepartment of Ophthalmology, Ghent University Hospital, Ghent, Belgium
VilleGhent
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