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[A case of a patient with immune ring of cornea]
1Oddziału Okulistycznego Wojewódzkiego Szpitala Podkarpackiego im. Jana Pawła II w Krośnie.
Insights
An immune ring in the cornea, often overlooked, can cause blurred vision. Prompt steroid treatment effectively resolves this immune complex deposit, restoring visual acuity.
Area of Science:
- Ophthalmology
- Immunology
Background:
- Immune rings are corneal deposits resulting from an immune reaction to antigens.
- This case highlights a rare presentation in an 8-year-old girl.
Observation:
- The patient presented with blurred vision and ring-shaped corneal deposits.
- A history of minor corneal abrasion preceded the onset of symptoms.
- Keratomycosis was initially suspected due to the corneal appearance.
Findings:
- An immune ring, formed by immune complexes, was diagnosed.
- Treatment with topical steroids (Ophtalmicor, Dexamethasone) led to rapid improvement.
- Corneal deposits regressed, and visual acuity improved within 3 days.
Implications:
- Immune rings may be underdiagnosed in clinical practice.
- Early recognition and prompt steroid therapy are crucial for managing immune rings.
- This case underscores the importance of considering immune-mediated conditions in corneal pathology.
Abstract:
A case of an 8-year-old girl with immune ring is presented. Immune reaction in the cornea after the second assault of the same antigen, probably HSV, produced immuno-complexes deposited in the cornea as a ring-shaped lattice. In our case the girl was admitted to hospital because of blurred vision, corneal deposits in the shape of a ring with keratomycosis suspicion in the eye. 3 months before she suffered from a minor injury to this eye (corneal abrasion with a finger while playing). Immune ring was recognised. Following Missoten's recommendations the girl was treated mainly with topical steroids (ophticor) every 15 minutes on the first day until the afternoon, subsequently with dexamethasone 4 times a day--for 10 days with decreased frequency continuously in an amount stopping the immune reaction. After 3 days the regression of deposits and the visual acuity improved. I believe this disease is not rare but rarely recognised and my aim is to approach this problem more thoroughly.
