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Published on: November 12, 2015
[Using systemic corticotherapy for adult gonococcal keratoconjunctivitis: three case reports].
1Service d'ophtalmologie, hôpital Edouard-Herriot, pavillon C, université Lyon-1, 5, place d'Arsonval, 69003 Lyon, France. murielpoli@hotmail.com
Journal Francais D'Ophtalmologie
|November 25, 2010
Summary
Adult gonococcal keratoconjunctivitis can lead to blindness. Systemic corticotherapy, combined with antibiotics, effectively treated associated scleritis and stabilized corneal thinning, reducing perforation risk.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Adult gonococcal keratoconjunctivitis is a rare, sight-threatening condition.
- Prompt diagnosis and management are crucial for preventing severe outcomes like corneal perforation.
Observation:
- A retrospective analysis of three adult patients with gonococcal keratoconjunctivitis was conducted.
- All patients experienced stromal melting of limbic structures, with severity linked to delayed treatment.
- Antibiotics alone failed to halt corneal thinning, which correlated with concurrent scleritis.
Findings:
- Systemic corticotherapy, administered under antibiotic cover, stabilized corneal thickness in all cases.
- The regression of scleritis appeared to correlate with improved corneal stability.
Implications:
- Gonococcal keratoconjunctivitis-associated limbal thinning may stem from scleritis.
- Systemic corticotherapy is a promising treatment for controlling progression and preventing perforation in these cases.
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