Immune keratitis: An unusual primary presentation of neuro-Behçet’s disease

A 19-year-old Nepalese male presented with complaints of bilateral ocular discomfort, photophobia, watering, and redness for 1 week. Visual acuity was 6/12 and 6/60 in the right and left eye, respectively. On biomicroscopic examination, presence of peripheral stromal infiltrates with conjunctival fo...

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Bibliographic Details
Published in:European journal of ophthalmology 2019-07, Vol.29 (4), p.NP5-NP8
Main Authors: Jinagal, Jitender, Agarwal, Aniruddha, Negi, Avinash, Gupta, Gaurav, Sharma, Vikas, Gupta, Parul Chawla, Ram, Jagat
Format: Article
Language:English
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Summary:A 19-year-old Nepalese male presented with complaints of bilateral ocular discomfort, photophobia, watering, and redness for 1 week. Visual acuity was 6/12 and 6/60 in the right and left eye, respectively. On biomicroscopic examination, presence of peripheral stromal infiltrates with conjunctival follicles was noted; infiltrates progressed to involve central cornea with further decrease in vision over next few days. After ruling out infectious keratitis, detailed systemic examination and laboratory investigations were diagnostic of neuro-Behçet’s disease. Patient responded to systemic steroidal and immunosuppressive therapy characterized by corneal healing and visual acuity improvement to 6/6 and 6/9. Although rare, but neuro-Behçet’s disease can primarily present as bilateral immune keratitis and every case of bilateral keratitis needs early systemic evaluation after ruling out infective etiologies.
ISSN:1120-6721
1724-6016
DOI:10.1177/1120672118803534