Management of corneal melting in a patient with long-standing rheumatoid arthritis – case report

Małgorzata Mimier; Dawid Janczak; Aneta Hill-Bator; Agata Sebastian; Grażyna Wiland; Marta Misiuk-Hojło

doi:10.5114/ko.2016.71711

POLSKI

eISSN: 2719-3209
ISSN: 0023-2157

Klinika Oczna / Acta Ophthalmologica Polonica

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3/2016
vol. 118

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abstract:

Case report

Management of corneal melting in a patient with long-standing rheumatoid arthritis – case report

Małgorzata Mimier

¹

,

Dawid Janczak

²

,

Aneta Hill-Bator

¹

,

Agata Sebastian

³

,

Grażyna Wiland

⁴

,

Marta Misiuk-Hojło

¹

Department and Clinic of Ophthalmology, Wroclaw Medical University, Poland
Division of Oncology and Palliative Care, Faculty of Health Science, Wroclaw Medical University, Poland
Department of Rheumatology and Internal Medicine, Wroclaw Medical University, Wrocław, Poland
Ophthalmology Clinic „M-Med.”, Wrocław, Poland

DOI: https://doi.org/10.5114/ko.2016.71711

Online publish date: 2017/11/29

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Corneal melting is a rare ocular complication of rheumatoid arthritis, associated with poor prognosis. Rapid course of the disease and unpredicted treatment response, which depends on a patient general state and disease severity, make every case a challenge and requires a cooperation between ophthalmologists and rheumatologists. We present a case of a 58-year-old woman with corneal melting, who was successfully treated with systemic corticosteroids and methotrexate, along with ocular surgery.

keywords:

Management of corneal melting in a patient with long-standing rheumatoid arthritis – case report

Małgorzata Mimier 1 , Dawid Janczak 2 , Aneta Hill-Bator 1 , Agata Sebastian 3 , Grażyna Wiland 4 , Marta Misiuk-Hojło 1

rheumatoid arthritis, corneal melting, corneal perforation, keratoplasty

Małgorzata Mimier

¹

,

Dawid Janczak

²

,

Aneta Hill-Bator

¹

,

Agata Sebastian

³

,

Grażyna Wiland

⁴

,

Marta Misiuk-Hojło

¹