ABSTRACT
Chalazion in childhood and early adolescence is a common condition frequently seen in ophthalmic practice
The diagnosis is usually straightforward and surgical treatment by incision and curettage is frequently advised. Emphasis on the cause of this common pathology is often overlooked
We present a case of recurrent chalazion in a 14-year-old female, which was associated with ocular rosacea
Ophthalmologic examination confirmed recurrence of chalazion, severe bilateral blepharitis and involvement of cornea with the presence of infiltration and neovascularization
The patient was treated with doxycycline 100 mg once a day and topical steroid treatment
The follow-up was marked by partial remission of the disease with frequent relapses
Topical azithromycin 1.5% was used and the ocular inflammation was quickly resolved. One year after discontinuation of local therapy with azithromycin, the patient remained recurrence free