Extensive superior limbic keratoconjunctivitis in Graves’ disease: case report and mini-review of the literature
Authors Chelala E, El Rami H, Dirani A, Fakhoury H, Fadlallah A
Received 19 December 2014
Accepted for publication 14 February 2015
Published 10 March 2015 Volume 2015:9 Pages 467—468
Checked for plagiarism Yes
Review by Single-blind
Peer reviewer comments 5
Editor who approved publication: Dr Scott Fraser
Elias Chelala, Hala El Rami, Ali Dirani, Henry Fakhoury, Ali Fadlallah
Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
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.
Keywords: superior limbic keratoconjunctivitis, anti-inflammatory drugs, dexamethasone, triamcinolone, Graves’ disease
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