Corneal melting after ocular surgery in patients with auto-immune disorders

I J E van der Meulen, J van Rooij, J W M Hazes, H van Cleynenbreugel, A J M Geerards, Lies Remeijer

Research output: Contribution to journalLetterResearchpeer-review

Abstract

Two women aged 78 and 74 years respectively, both with dry eyes due to underlying auto-immune disorders, presented after uncomplicated cataract surgery with immunostromal corneal ulceration. Intensive topical lubrication combined with systemic immunosuppressants were necessary to control the corneal melt. Dry eyes are a frequently-encountered problem among patients with rheumatoid disorders and increase the risk of corneal melting. Auto-immune related corneal melting can occur spontaneously or after ocular surgery, it threatens visual acuity and ocular integrity and may be associated with systemic vasculitis. When treating patients with rheumatoid disorders, the presence of dry eyes and the accompanying risk of serious complications need to be ascertained. In patients at risk, pre-operative preventive measures to suppress any underlying systemic disorders and improve the ocular environment are necessary. When corneal melting is diagnosed, aggressive topical therapy combined with systemic immunosuppressants is indicated.

Translated title of the contributionCorneal melting after ocular surgery in patients with auto-immune disorders
Original languageDutch
Pages (from-to)920-3
Number of pages4
JournalNederlands Tijdschrift voor Geneeskunde
Volume151
Issue number16
Publication statusPublished - 21 Apr 2007

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