Corneal Perforation after Pterygium Excision in Rheumatoid Arthritis Patient

Authors

  • Promporn Patarajierapun Department of Ophthalmology, Chulabhorn International College of Medicine, Thammasat University, Pathum Thani 12120, Thailand
  • Kosol Kampitak Department of Ophthalmology, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand
  • Kanitha Kityarak Department of Ophthalmology, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand
  • Wichai Leelawongtawun Department of Ophthalmology, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand
  • Supinda Leeamornsiri Department of Ophthalmology, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand
  • Suntaree Thitiwichienlert Department of Ophthalmology, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand
  • Pakornkit Phrueksaudomchai Department of Ophthalmology, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand

Keywords:

Corneal perforation, Pterygium excision, Lamellar keratoplasty, Rheumatoid arthritis

Abstract

A 73-year-old woman with rheumatoid arthritis (RA) presented with corneal perforation at nasal cornea of her left eye after primary pterygium excision and amniotic membrane grafting without other adjunctive therapy. She was successfully treated with lamellar keratoplasty using corneoscleral graft, without signs of graft rejection at 6 months postoperatively.

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References

Sarkar P, Tripathy K. Pterygium. National Center for Biotechnology Information. https://www.ncbi.nlm.nih.gov/books/NBK558907/. Updated February 14, 2021. Accessed 2021.

Gonzalez Gomez A, Gonzalez de Gor Crooke JL, Garcia Ben A, Garcia Campos JM. Dellen and corneal perforation after bilateral pterygium excision in a patient with no risk factors. BMJ Case Rep. 2015;2015:2015213319.

Lekskul M, Fracht HU, Cohen EJ, Rapuano CJ, Laibson PR. Nontraumatic Corneal Perforation. Cornea. 2000;19(3):313-319.

Accorinti M, Gilardi M, Giubilei M, De Geronimo D, Iannetti L. Corneal and Scleral Dellen after an Uneventful Pterygium Surgery and a Febrile Episode. Case Reports in Ophthalmology. 2014;5(1):111-115.

Menghini M, Watson SL, Bosch MM. Corneal Melting Two Weeks after Pterygium Excision with Topical Mitomycin C: Successfully Treated with Lamellar Keratoplasty and Amnion Membrane Transplantation. Case Reports in Ophthalmology. 2012;3(1):24-29.

Drozhzhina GI, Troichenko LE, Ostashevskii VL, Kogan BM, Gaidamaka TB, Ivanovskaia EV. Mistakes in the treatment of pterygium. J Ophthalmol (Ukraine). 2019;4;18-22.

Karampatakis V, Konidaris V, Michailidou M, Gerofotis A, Daniilidis M. Peripheral corneal ulceration associated with rheumatoid arthritis. Am J Case Rep. 2013;14:318-321.

Perez VL, Azar DT, Foster CS. Sterile corneal melting and necrotizing scleritis after cataract surgery in patients with rheumatoid arthritis and collagen vascular disease. Seminars in Ophthalmology. 2002;17(3-4):124-130.

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Published

2021-12-30

How to Cite

[1]
Patarajierapun, P., Kampitak, K., Kityarak, K., Leelawongtawun, W., Leeamornsiri, S., Thitiwichienlert, S. and Phrueksaudomchai, P. 2021. Corneal Perforation after Pterygium Excision in Rheumatoid Arthritis Patient. Asian Medical Journal and Alternative Medicine. 21, 3 (Dec. 2021), 271–274.

Issue

Vol. 21 No. 3 (2021): September-December

Section

Case Report

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