Peripheral ulcerative keratitis triggered by bacterial conjunctivitis

Authors

  • A Pokharel Nepal Eye Hospital, Tripureshwor, Kathmandu
  • S Subedi Nepal Eye Hospital, Tripureshwor, Kathmandu
  • M Bajracharya Nepal Eye Hospital, Tripureshwor, Kathmandu

DOI:

https://doi.org/10.3126/nepjoph.v2i1.3709

Keywords:

conjunctivitis, peripheral ulcerative keratitis, rheumatoid arthritis

Abstract

Background: Peripheral ulcerative keratitis (PUK) is a disorder consisting of a crescent-shaped destructive inflammation of the perilimbal corneal stroma.

Case: We present a case of PUK following acute bacterial conjunctivitis in a 60-year-old lady with a history of on-and-off joint pain for two years. After admission to the hospital, she underwent conjunctival resection and was given topical and oral steroids. She was prescribed hydroxychloroquine after confirming the diagnosis of rheumatoid arthritis with a positive RA factor.

Conclusion: This report highlights the role of infection as a triggering agent in the induction of PUK in an otherwise quiescent cornea.

Keywords: conjunctivitis; peripheral ulcerative keratitis; rheumatoid arthritis

DOI: 10.3126/nepjoph.v2i1.3709

Nep J Oph 2010;2(1) 71-73

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How to Cite

Pokharel, A., Subedi, S., & Bajracharya, M. (2010). Peripheral ulcerative keratitis triggered by bacterial conjunctivitis. Nepalese Journal of Ophthalmology, 2(1), 71–73. https://doi.org/10.3126/nepjoph.v2i1.3709

Issue

Section

Case Reports