A rare case of peripheral ulcerative keratitis in temporal arteritis.
OBJECTIVE
To present a case of peripheral ulcerative keratitis (PUK) that progressed to corneal perforation in the setting of recently diagnosed temporal arteritis.


METHODS
A 76-year-old man presented with a 2-week history of red eye and gradual loss of vision in the right eye. His medical history included recently diagnosed temporal arteritis without previous eye involvement. Clinical examination revealed severe peripheral corneal melting leading to corneal perforation.


RESULTS
The patient was treated in the acute phase with topical dexamethasone drops and oral prednisolone. Perforation was sealed with cyanoacrylate glue. Azathioprine was also administered. Inflammation was resolved and his eye remains quiet.


CONCLUSIONS
To our knowledge, this is the first reported case of PUK in the background of temporal arteritis.
2nd Ophthalmology Department, Attikon University Hospital, Athens - Greece. mpapathanassiou@yahoo.com
Miltiadis
M
Papathanassiou
Antonia
A
Elezoglu
Eleni
E
Nikita
Panagiotis G
PG
Theodossiadis
Ioannis
I
Vergados
D000368:Aged; D003131:Combined Modality Therapy; D003320:Corneal Ulcer / Q000150:complications* / Q000188:drug therapy; D003487:Cyanoacrylates / Q000627:therapeutic use; D003907:Dexamethasone / Q000627:therapeutic use; D013700:Giant Cell Arteritis / Q000150:complications* / Q000188:drug therapy; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D011239:Prednisolone / Q000627:therapeutic use; D012422:Rupture, Spontaneous; D014014:Tissue Adhesives / Q000627:therapeutic use
D003487:Cyanoacrylates; D005938:Glucocorticoids; D014014:Tissue Adhesives; D003907:Dexamethasone; D011239:Prednisolone