Peripheral Ulcerative Keratitis: Another Ocular Manifestation of Behçet’s Disease
Journal Title: Journal of Ophthalmology and Advance Research - Year 2021, Vol 2, Issue 3
Abstract
Ocular involvement in Behcet's Disease (BD) is typically characterized by uveitis, which is present in over 50% of cases. However, more and more cases of corneal involvement are reported. We report a rare case of Peripheral Ulcerative Keratitis (PUK) associated with Behçet's disease. This is a 38-year-old man who has been followed for Behçet's disease for 5 years, in remission and without treatment for one year and without overt anterior ocular involvement, who presented a deep ulcerative lesion with a peri-lesional disorder in the nasal peripheral cornea of the left eye on a background of moderate dry eye. Initial visual acuity was 13/20 without correction and there was no anterior chamber reaction or posterior segment involvement. Because of the worsening of the ulcer despite 3 days of treatment with antibiotics and antivirals, the diagnosis was reconsidered given the patient's history of BD and a course of topical and oral corticosteroids and wetting agents were instituted. The evolution was spectacular, after 5 days of treatment, with visual acuity back to 20/20 and almost complete healing, thus confirming the etiology of this keratitis. Any marginal ulcer, especially one that is refractory to antibiotics and antivirals, should be investigated for Behçet's disease.
Authors and Affiliations
Moctar Issiaka*, Soukaina Bahti, Adil Mchachi, Leila Benhmidoune, Rayad Rachid, Mohamed El Belhadji
Keywords
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- EP ID EP698945
- DOI http://dx.doi.org/10.46889/JOAR.2021.2308
- Views 48
- Downloads 0
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