A rare case of peripheral ulcerative keratitis in temporal arteritis

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

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Bibliographic Details
Published in:European journal of ophthalmology 2009-09, Vol.19 (5), p.866-869
Main Authors: Papathanassiou, Miltiadis, Elezoglu, Antonia, Nikita, Eleni, Theodossiadis, Panagiotis G, Vergados, Ioannis
Format: Article
Language:English
Subjects:
Aged
Combined Modality Therapy
Corneal Ulcer - complications
Corneal Ulcer - drug therapy
Cyanoacrylates - therapeutic use
Dexamethasone - therapeutic use
Giant Cell Arteritis - complications
Giant Cell Arteritis - drug therapy
Glucocorticoids - therapeutic use
Humans
Male
Prednisolone - therapeutic use
Rupture, Spontaneous
Tissue Adhesives - therapeutic use
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Summary:To present a case of peripheral ulcerative keratitis (PUK) that progressed to corneal perforation in the setting of recently diagnosed temporal arteritis. 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. 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. To our knowledge, this is the first reported case of PUK in the background of temporal arteritis.
ISSN:1120-6721
1724-6016
DOI:10.1177/112067210901900529