Peripheral Corneal Degeneration in Rheumatoid Arthritis.

Choi, Ouk; Kim, Hong Bok; Kong, Young Tai

Case Report

Journal of the Korean Ophthalmological Society 1976;17(1):101-103.
Published online January 1, 1976.

Peripheral Corneal Degeneration in Rheumatoid Arthritis.

Ouk Choi, Hong Bok Kim, Young Tai Kong

Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.

류머티스성 관절염환자에 발생한 각막주변부 변성

최억 , 김홍복 , 공영태 ( Ouk Choi , Hong Bok Kim , Young Tae Kong )

Abstract

In 1952, Dr. Collier observed first a characteristic lesion of marginal corneal furrow in the patient who had rheumatoid arthritis with Sjogren's syndrome. The furrows are usually bilateral, but one may be more advanced than the other. This corneal thining may be superficial and nonprogressive or it may progress to epithelial breakdown, lamellar collagen dissolution with marked thining and perforation. Almost absence of inflammatory reaction in this furrow may be differentiated from polyarteritis nodosa. Terrien's marginal degeneration may be differentiated from this furrow by age, vascularization in the thining bed, and encircling the cornea. The case reported in the following was a 42 year old woman who had bilateral marginal furrows in the cornea with rheumatoid arthritis Which was documented by positive C-reactive protein, positive RA factor, increased ESR and hand X-ray finding suggestive of rheumatoid arthritis.