Objective Toinvestigate the etiology of chalazia in children,in order to provide basis for clinical prevention and treatment of chalazia. Methods Totally 108 preoperative children with chalazia were randomly selected as the case group from 2016 to 2017 in Children's Hospital of Fudan University,and 48 preoperative children with strabismus or trichiasis were as the control group. Serum vitamin A,B1,C,D,E of children were tested and compared in two groups using two independent samples t test. Questionnaires survey was conducted to investigate high-calorie food,snacks and meat consumption and dietary bias in two groups. Chi-square test and Logistic regression were used to analyze the data. Results The average serum vitamin A level of the case group was (0.64±0.14)μmol/L,the control group was (0.70±0.21 )μmol/L,and the difference between the two groups was statistically significant(P=0.014). Serum vitamin A levels in children with multiple cysts were lower than those of children with single cyst(P=0.006). There were no significant differences on serum vitamin B1,C,D and E levels between the two groups(P>0.05). But there were no significant differences on high-calorie food,snacks and meat consumption and dietary bias between case group and control group(P>0.05). Logistic regression analysis showed significant effect of eating habits to chalazia in children was not found(P>0.05). Conclusion Low vitamin A level is associated with chalazia in children,especially in children with multiple cysts.
Key words
chalazia /
vitamin /
eating habits /
etiology /
children
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Park YM,Lee JS.The effects of chalazion excision on corneal surface aberrations[J].Cont Lens Anterior Eye,2014,37(5):342-345.
[2] Schear MJ,Milman T,Steiner T,et al.The association of demodex with chalazia:a Histopathologic study of the eyelid[J].Ophthal Plast Reconstr Surg,2016,32(4):275-278.
[3] Hickey CS.The use of vitamin A in the prevention and treatment of chalazion[J].Eye Ear Nose Throat Mon,1951,30(9):488-490.
[4] Mansour AM,Chan CC,Crawford MA,et al.Virus-induced chalazion[J].Eye(Lond),2006,20(2):242-246.
[5] Aoki M,Kawana S.Bilateral chalazia of the lower eyelids associated with pulmonary tuberculosis[J].Acta Derm Venereol,2002,82(5):386-387.
[6] Song P,Wang J,Wei W,et al.The Prevalence of Vitamin A Deficiency in Chinese Children:A Systematic Review and Bayesian Meta-Analysis[J].Nutrients,2017,9(12):1285-1293.
[7] 赵柳宁,邓娟.睑板腺囊肿的研究进展[J].国际眼科纵览,2015,39(3):145-151.
[8] Grob SR,Jakobiec FA,Rashid A,et al.Chalazia associated with bortezomib therapy for multiple myeloma[J].Ophthalmology,2014,121(9):1845-1847.
[9] Yun C,Mukhi N,Kremer V,et al.Chalazia development in multiple myeloma:a new complication associated with bortezomib therapy[J].Hematol Rep,2015,7(2):38-40.
[10] Gupta S,Silliman CG,Trump DL.Docetaxel-induced Meibomian duct inflammation and blockage leading to chalazion formation[J].Prostate Cancer Prostatic Dis,2007,10(4):396-397.
[11] Murdaugh DL,Cox JE,Cook ER,et al.fMRI reactivity to high-calorie food pictures predicts short- and long-term outcome in a weight-loss program[J].Neuroimage,2012,59(3):2709-2721.
[12] McCullough FS,Northrop-Clewes CA,Thurnham DI.The effect of vitamin A on epithelial integrity[J].Proc Nutr Soc,1999,58(2):289-293.
[13] Abboud IA,Osman HG,Massoud WH.Vitamin A and chalazia[J].Exp Eye Res,1968,7(3):383-387.
[14] Albert,Daniel M.Albert & Jakobiec's principles and practice of ophthalmology[M].3rd ed.Philadelphia,Philadelphia:Saunders Elsevier Press,2008:625-627.
[15] Chen L,Chen X,Xiang Q,et al.Prevalence of low serum vitamin a levels in young children with chalazia in southwest china[J].Am J Ophthalmol,2014,157(5):1103-1108.
[16] Malekahmadi M,Farrahi F,Tajdini A.Serum vitamin A levels in patients with chalazion[J].Med Hypothesis Discov Innov Ophthalmol,2017,6(3):63-66.
[17] World Health Organization.Global prevalence of vitamin A deficiency in populations at risk 1995-2005:WHO global database on vitamin A deficiency[M].Geneva:World Health Organization,2009:55.
[18] 林萍,刘彦芳,武志清.儿童多发性睑板腺囊肿的相关危险因素分析[J].国际眼科杂志,2018,18(4):751-753.