title: Extensive superior limbic keratoconjunctivitis in Graves' disease: case report and mini-review of the literature.
abstract: BACKGROUND
  Superior limbic keratoconjunctivitis (SLK) is characterized as an inflammation of the superior bulbar conjunctiva with predominant involvement of the superior limbus and adjacent epithelial keratitis.
  
  
  METHODS
  A 51-year-old woman, with a history of medically controlled Graves' disease was seen with an extensive SLK involving 5 mm of the superior cornea.
  
  
  RESULTS
  Total remission was observed with topical steroids (DXM). Recurrence was observed 1 week after steroid discontinuation, and steroidal treatment was reintroduced with tapering over 1 month. Total remission was then observed for 1 year.
  
  
  CONCLUSIONS
  Extensive keratitis and vascular pannus in SLK is rarely reported. This form could be treated with topical steroids. Tapering treatment remains essential for long-term success.
authors: Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon.
authors: Elias
authors: E
authors: Chelala
authors: Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon.
authors: Hala
authors: H
authors: El Rami
authors: Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon.
authors: Ali
authors: A
authors: Dirani
authors: Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon.
authors: Henry
authors: H
authors: Fakhoury
authors: Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon.
authors: Ali
authors: A
authors: Fadlallah
keywords: Graves’ disease; anti-inflammatory drugs; dexamethasone; superior limbic keratoconjunctivitis; triamcinolone