A Case of Conjunctival Lithiasis with Clinical Manifestations of Superior Limbic Keratoconjunctivitis.

Son, Bo Kwon; Yang, Chan Min; Kim, Tae Gi; Jin, Kyung Hyun

doi:2016.57.6.983

J Korean Ophthalmol Soc > Volume 57(6); 2016 > Article

Case Report

Journal of the Korean Ophthalmological Society 2016;57(6):983-987.
DOI: https://doi.org/10.3341/jkos.2016.57.6.983 Published online June 15, 2016.

A Case of Conjunctival Lithiasis with Clinical Manifestations of Superior Limbic Keratoconjunctivitis.

Bo Kwon Son, Chan Min Yang, Tae Gi Kim, Kyung Hyun Jin

Department of Ophthalmology, KyungHee University Hospital, KyungHee University School of Medicine, Seoul, Korea. khjinmd@khmc.or.kr

결막 결석에 의한 상윤부각결막염 양상을 보인 1예

손보권⋅양찬민⋅김태기⋅진경현

경희대학교 의학전문대학원 경희대학교병원 안과학교실

Correspondence: Kyung Hyun Jin,
Email: khjinmd@khmc.or.kr

Received: 20 August 2015 • Revised: 28 October 2015 • Accepted: 30 December 2015

Abstract

PURPOSE
To report a case of conjunctival lithiasis with clinical manifestations of superior limbic keratoconjunctivitis. CASE SUMMARY: A 40-year-old male complained of pain, foreign body sensation and injection in the left eye lasting 1 month. The slit-lamp examination revealed injection of the superior bulbar conjunctiva, linear corneal band opacity, fine punctate staining and epithelial defect in the superior cornea area. After eversion of the left upper eyelid, there were many various-sized conjunctional concretions and inflammation in the superior tarsal conjunctiva. Therefore, we considered conjunctival lithiasis-induced clinical manifestations of superior limbic keratoconjunctivitis and then removed the conjunctival concretions using a 30-gauge needle. After the procedures, artificial tears, antibiotic eye drops, steroid eye drops and a therapeutic contact lens were applied. After 1 week, all symptoms and signs improved and there was no recurrence for 4 months. CONCLUSIONS: Mechanical stimulation by severe conjunctival lithiasis can induce clinical manifestations of superior limbic keratoconjunctivitis. Therefore, in patients with clinical manifestations of superior limbic keratoconjunctivitis, conjunctival lithiasis should be considered by observing the superior tarsal conjunctiva more closely.

Key Words: Conjunctival lithiasis;Superior limbic keratoconjunctivitis