Corneal perforation as a primary manifestation of keratoconus in a patient with underlying rheumatoid arthritis.
Τίτλος | Corneal perforation as a primary manifestation of keratoconus in a patient with underlying rheumatoid arthritis. |
Publication Type | Journal Article |
Year of Publication | 2012 |
Authors | Tsaousis, K. T., Chalvatzis N., Symeonidis C., Kopsachilis N., Mataftsi A., Dimitrakos S. A., & Tsinopoulos I. T. |
Journal | J Ophthalmic Inflamm Infect |
Volume | 2 |
Issue | 1 |
Pagination | 57-60 |
Date Published | 2012 Mar |
ISSN | 1869-5760 |
Abstract | PURPOSE: The purpose of this study is to report a case of corneal perforation in a patient with undiagnosed keratoconus and underlying rheumatoid arthritis.METHODS: This is a retrospective case study based on the patient's medical records and followed by a brief review of the literature.RESULTS: A 53-year-old patient was referred to our department for acute pain and sudden decrease of visual acuity in his left eye. Corneal perforation was detected and attributed to a previously undiagnosed and untreated keratoconus. Additional laboratory work-up and clinical examination revealed a coexisting rheumatoid arthritis. Amniotic membrane was originally transplanted in order to maintain the structural integrity and promote healing of the perforated eye. Subsequently, the patient underwent a penetrating keratoplasty, though with unfavorable results due to postoperative endophthalmitis.CONCLUSIONS: Rheumatoid arthritis may be associated with higher risk of corneal perforation in patients with ectatic degenerative diseases such as keratoconus. |
DOI | 10.1007/s12348-011-0048-4 |
Alternate Journal | J Ophthalmic Inflamm Infect |
PubMed ID | 22089975 |
PubMed Central ID | PMC3302993 |