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Bilateral infectious ulcers associated with atopic keratoconjunctivitis.
Antoine Labbe1, Benedicte Dupas, Larry Bensoussan
1Service d'Ophtalmologie III, Centre Hospitalier National d'Ophtalmologie des Quinze-Vingts, Paris, France.
Cornea
|December 24, 2005
Summary
Bilateral infectious ulcers, a rare complication of atopic keratoconjunctivitis, were successfully treated with antibiotics and corticosteroids. In vivo confocal microscopy aided in monitoring the ocular surface disease progression.
Area of Science:
- Ophthalmology
- Microbiology
Background:
- Atopic keratoconjunctivitis is a chronic inflammatory eye condition.
- Infectious ulcers can be a severe complication, potentially leading to vision loss.
Purpose of the Study:
- To describe a case of atopic keratoconjunctivitis complicated by bilateral infectious ulcers.
- To evaluate the utility of in vivo confocal microscopy in managing this condition.
Main Methods:
- Comprehensive ophthalmologic examination was performed on both eyes.
- In vivo confocal microscopy using the Heidelberg Retina Tomograph II Rostock-cornea-module (HRT II-RCM) was utilized.
- Photographic documentation of the ocular surface was obtained.
Main Results:
- The patient received a treatment regimen including topical and oral antibiotics and corticosteroids.
- Complete healing of the corneal lesions was observed after 4 weeks of treatment.
Conclusions:
- Bilateral infectious ulcers, particularly with perforation, represent a rare but serious complication of atopic keratoconjunctivitis.
- Heidelberg Retina Tomograph II Rostock-cornea-module (HRT II-RCM) in vivo confocal microscopy is a valuable tool for monitoring ocular surface disease progression.