Extensive superior limbic keratoconjunctivitis in Graves’ disease: case report and mini-review of the literature

BACKGROUND: Superior limbic keratoconjunctivitis (SLK) is characterized as an inflammation of the superior bulbar conjunctiva with predominant involvement of the superior limbus and adjacent epithelial keratitis. METHODS: A 51-year-old woman, with a history of medically controlled Graves’ disease wa...

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Detalles Bibliográficos
Autores principales: Chelala, Elias, El Rami, Hala, Dirani, Ali, Fakhoury, Henry, Fadlallah, Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4362972/
https://www.ncbi.nlm.nih.gov/pubmed/25792798
http://dx.doi.org/10.2147/OPTH.S79561
Descripción
Sumario:BACKGROUND: Superior limbic keratoconjunctivitis (SLK) is characterized as an inflammation of the superior bulbar conjunctiva with predominant involvement of the superior limbus and adjacent epithelial keratitis. METHODS: A 51-year-old woman, with a history of medically controlled Graves’ disease was seen with an extensive SLK involving 5 mm of the superior cornea. RESULTS: Total remission was observed with topical steroids (DXM). Recurrence was observed 1 week after steroid discontinuation, and steroidal treatment was reintroduced with tapering over 1 month. Total remission was then observed for 1 year. CONCLUSION: Extensive keratitis and vascular pannus in SLK is rarely reported. This form could be treated with topical steroids. Tapering treatment remains essential for long-term success.

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