A Peripheral Corneal Ulcer in Rheumatoid Arthritis.

Kim, Dong Gun; Kim, Byung Jeon

Case Report

Journal of the Korean Ophthalmological Society 1987;28(5):1083-1087.
Published online May 1, 1987.

A Peripheral Corneal Ulcer in Rheumatoid Arthritis.

Dong Gun Kim, Byung Jeon Kim

Department of Ophthalmology, National Medical Center, Korea.

류마티스성 관절염에서 생긴 각막주변부 궤양 1 예

김동건(Dong Gun Kim),김형전(Hyung Jeon Kim)

Abstract

Rheumatoid arthritis is a kind of collagen diease and involves many joints and extra-articular systems-heart, respiratory system, central nervous system, skin and reticuloendothelial system. The peripheral corneal ulcer is a rare chracteristic ocular finding in rheumatoid arthritis. Generally this ulcer is combined with minimal inflammation and vascularization. The local corticosteroid therapy is of no value and may be harmful. Collagenase inhibitor, hydrophylic contact lens. heparin therapy, limbal conjunctivectomy have been tried for treatment of this ulcer. The authors experienced a case of peripheral corneal ulcer in rheumatoid arthritis which responded to systemic corticosteroid therapy.