Uniteral Interstisial Keratitis Caused by Systemic Lupus Erythematosus
Journal Title: Open Access Journal of Ophthalmology - Year 2016, Vol 1, Issue 2
Abstract
Purpose: To report a case of rare and unusual interstitial keratitis (kerato endothelitis) in a 46-year-old man with systemic lupus erythematosus (SLE). Methods: Images were obtained using biomicroscope photography, and direct photography. Results: The patient had a history of SLE and corneal opacification, decrease of visual acuity during three days in his right eye. Biomicroscopic examination was revealed a corneal opacification in superotemporal area. There was also an increase of corneal thickness at the area. In addition there were a few discoid erythematos lesions in his noise, ear and face. Conclusion: Interstitial keratitis (kerato endothelitis) is uncommon and immune complex accumulation may a role in the pathogenesis of the corneal lesions of SLE. It must be recognized as a definite clinical entity. Its prompt recognition and treatment with corticosteroids may quickly bring about improvement, whereas if it is unrecognized, corneal scarring and loss of vision may follow.
Authors and Affiliations
Tongabay C
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