Crescent-shaped anterior lamellar keratoplasty as treatment of corneal perforation in peripheral ulcerative keratitis

Autores

  • Sónia Torres Costa Departamento de Oftalmologia do Centro Hospitalar São João, Porto
  • João Pinheiro Costa Department of Ophthalmology, Centro Hospitalar Universitário de São João, Porto, Portugal. Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal. 3. Department of Biomedicine, Faculty of Medicine, University of Porto, Porto, Portugal.
  • Luís Figueira Department of Ophthalmology, Centro Hospitalar Universitário de São João, Porto, Portugal; Department of Pharmacology and Therapeutics, Faculty of Medicine of the University of Porto, Porto, Portugal; Center for Drug Discovery and Innovative Medicines (MedInUP), University of Porto, Porto, Portugal.
  • Fernando Falcão Reis Department of Ophthalmology, Centro Hospitalar Universitário de São João, Porto, Portugal. Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal.

DOI:

https://doi.org/10.48560/rspo.18818

Resumo

Purpose: to raise awareness of potential severe ocular complications associated with autoimmune diseases and to describe the surgical technique of crescent-shaped anterior lamellar keratoplasty to treat a corneal perforation in peripheral ulcerative keratitis.  

Methods and Materials: Case report.

Results: A female patient with 59 years old, with history of longstanding rheumatoid arthritis, presented with redness and photophobia in the right eye. As past ocular history, the patient had a severe keratoconjunctivitis sicca and a corneal ulcer in the right eye. Clinical examination revealed an epithelial defect with a significant inferior corneal thickness decrease. Topical steroids, antibiotics and a therapeutic contact lens were prescribed. One month later, a corneal perforation was observed and a crescent-shaped deep anterior lamellar keratoplasty was then performed.

Conclusion: The clinical course of peripheral ulcerative keratitis depends on the associated systemic pathology, being essential a multidisciplinary approach by ophthalmologists and rheumatologists to allow systemic control of the autoimmune disease, avoiding possible complications such as eye perforation.

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Publicado

2020-10-21

Como Citar

Costa, S. T., Costa, J. P., Figueira, L., & Reis, F. F. (2020). Crescent-shaped anterior lamellar keratoplasty as treatment of corneal perforation in peripheral ulcerative keratitis. Revista Sociedade Portuguesa De Oftalmologia, 44(2). https://doi.org/10.48560/rspo.18818

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Comunicações Curtas e Imagens em Oftalmologia