title: Peripheral ulcerative keratitis after cataract surgery in a patient with ocular cicatricial pemphigoid.
abstract: OBJECTIVE
  To describe a case of peripheral ulcerative keratitis (PUK) that developed in the immediate postoperative period after uncomplicated cataract surgery in a patient with ocular cicatricial pemphigoid.
  
  
  METHODS
  Single interventional case report. An elderly white woman with stable ocular cicatricial pemphigoid underwent an uncomplicated clear corneal phacoemulsification procedure in the left eye. In the immediate postoperative period, PUK developed adjacent to the corneal wound in the left eye.
  
  
  RESULTS
  The PUK was successfully treated with a bandage contact lens to the left eye, optimizing the ocular surface with punctal plugs and topical and systemic steroid therapy. After a 7-week course of tapering topical and systemic steroids, the PUK completely resolved. There was no further flare-up over a 12-month period.
  
  
  CONCLUSIONS
  PUK can develop after clear corneal cataract surgery in patients with stable ocular cicatricial pemphigoid. Perioperative immunosuppression should be considered to minimize the chance of PUK developing in such cases.
authors.affiliation: Department of Ophthalmology, Ayr Hospital, Ayrshire and Arran NHS Trust, Ayr, Scotland, United Kingdom.
authors.forename: Christine Anne
authors.initials: CA
authors.lastname: Kiire
authors.forename: Sathish
authors.initials: S
authors.lastname: Srinivasan
authors.forename: Andrew
authors.initials: A
authors.lastname: Inglis
mesh_terms: D000369:Aged, 80 and over; D002386:Cataract / Q000150:complications*; D003131:Combined Modality Therapy; D003320:Corneal Ulcer / Q000209:etiology* / Q000628:therapy; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D009779:Occlusive Dressings; D010390:Pemphigoid, Benign Mucous Membrane / Q000150:complications* / Q000175:diagnosis; D018918:Phacoemulsification / Q000009:adverse effects*; D011239:Prednisolone / Q000627:therapeutic use; D014792:Visual Acuity
chemical_list: D005938:Glucocorticoids; D011239:Prednisolone