Peripheral ulcerative keratitis after clear corneal cataract extraction(1).
A previously healthy 80-year-old man had uneventful clear corneal cataract extraction. An extensive peripheral corneal infiltrate with overlying epithelial defect at the incision site was noted at the regular follow-up visit 1 week after surgery. Corneal cultures showed no evidence of infectious keratitis. A systemic evaluation uncovered early-stage, active rheumatoid arthritis. This case illustrates that peripheral ulcerative keratitis may occur with a small clear corneal incision and may be the presenting sign of a previously undiagnosed rheumatoid disease.
Akpek
E K
EK
Cornea and External Diseases Service, The Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, Maryland 21287, USA.
Demetriades
A
AM
Gottsch
J D
JD
D000368:Aged; D000369:Aged, 80 and over; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000175:diagnosis; D003315:Cornea / Q000601:surgery*; D003320:Corneal Ulcer / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D006801:Humans; D008297:Male; D009883:Ophthalmic Solutions; D018918:Phacoemulsification / Q000009:adverse effects*; D014792:Visual Acuity
D000893:Anti-Inflammatory Agents; D009883:Ophthalmic Solutions